2025/26 Tryout Registration Form (Elgin-Middlesex Canucks)

2025/26 Tryout Registration Form

Please complete all required information. NOTE: Player will be required to show proof of Date of Birth prior to 1st skate. Please ensure you have a Birth Certificate or Valid Passport with you. Player will not be allowed to participate without valid DOB. Tryout fee will be $100 and this guarantees 1 skate. Please e-transfer [email protected] before the first tryout. Ensure to include players full name and division trying out for in the message/memo box. ****FYI Registration costs for 2025/2026 season will be $3000***** For more information please visits the 2025 -2026 EMC Registration FAQS at https://elgin-middlesexcanucks.ca/Libraries/1180/Registrar_Documents/

Please select the division your player will be trying out for:^*

Required

Player Information

Player's Name (First and Last):^*

Required

Players Date of Birth:^*

Required

Player's Address:^*

Required

Player's Position:^*

GOALIE
FORWARD (CENTER)
FORWARD (WINGER)
DEFENCE

Check All That Apply

Player Shoots:

Player's Association for 2024/25 Season:^*

Required

Please provide details (Example): EMC U14 AAA

Hockey Canada Registry Number (HCR):^*

Required

Please log on to players Hockey Canada Registry profile to obtain number.

Parent Information

Parent/Guardian Name^*

Required

Phone Number ^*

Required

Email Address^*

Required

Example: [email protected]. Your submission will be sent to this address.

Respect In Sport Certificate Number^*

Required

RIS# mandatory in order for your player to attend tryouts

I understand that by submitting the information in this form that I certify and will abide by it to be true that I have become subject to the Rules and Regulations, Constitution and Policy of EMHA. I also hereby state that my player is in good standing with their 2024/2025 season association.

I agree to the terms and conditions stated above^*

2025/26 Tryout Registration Form (Elgin-Middlesex Canucks)

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Player Information

Parent Information