Winter 2026-2027 · New member

Personal Information

Step 1 of 5

Fields marked * are required.

Please tell us your name, address, and contact information.

About you

First Name*

Last Name*

Birth Date*

For example, 1985-12-07.

Email Address*

Primary phone*

The best number to reach you. Captains use this number to contact pool players.

Secondary phone

Home Address*

Suite/Unit/RR#

City*

Province*

Postal Code*

First Aid Certified?*

Yes

Are you First Aid/CPR-AED certified by Red Cross or St. John Ambulance?

In case of an on ice emergency, who should be contacted?

Contact Name*

Primary phone*

Secondary phone

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