ࡱ> GIF%` bjbj o8̟̟ &&&&vvv$<, R:[[[suuuuuu$h` D-v[|[[[&&S{{{[&8vs{[s{{_0^vF qGk$s0 $ { H v[[{[[[[[{[[[ [[[[D &&&&&& Greater Bridgeport Hockey Registration Process Log on to  HYPERLINK http://www.usahockey.com www.usahockey.com and click on the Online Registration link on the right side of the screen. Register each hockey player. Fee is $40 per player ($30 to USA Hockey, $10 to CHC). Print out the USA Hockey confirmation page (to be submitted with registration paperwork). Complete the GBJHA 2008-09 Player Registration Form for each player. A form is available on our website at  HYPERLINK "http://www.gbjha.org" www.gbjha.org or at the Rinks at Shelton. Ensure that you have the following paperwork: GBJHA 2008-09 Registration Form for each player PRINTED USA hockey confirmation page Check (made out to GBJHA), cash or credit card form on application completed for tryout fee for travel or the full fee for House Mail all forms listed in #4 to: Cindy Lavoie 117 Meadowview Drive Trumbull, CT 06611 If you have any questions about the registration process, please contact Cindy Lavoie via e-mail at  HYPERLINK mailto:registrar@gbjha.org registrar@gbjha.org or by phone (203) 445-8253 GBJHA 2008-2009 Registration form  Player Last Name: _____________________ First Name: __________________________________________________ Address: ____________________________________________________________________________________________ ( Street) (City) (zip) Birth date: __________________________Parents email: ________________________ Phone #: ___________________ (Please print clearly) % Check this box if you would like your name, address & phone # to appear in our Member Services Directory this season. Male/Female (please circle) Citizenship (circle) USA Other: ________________________ Mothers Name: ____________________________Fathers Name: ____________________________________________  2007-08 Info: House or travel? __________________Level (mite, squirt, etc.) _____________ Position: ______________ GBJHA Member Last Year? Yes or no ____________ If no, what program did your child play with? _________________ What are you registering for? Travel Team: Midgets: Birth Year 1990-1993 Full Year ______ Half Year ______ High School __________________ Not sure _______ House Team: 3v3 Squirt Pee Wee Bantam 2000-younger 1998-99 1996-97 1994-95 Please Note: Those players that have not been selected for the travel teams will then be registered in the house program. List siblings that also play for GBJHA . __________________ ________________ ________________ ___________________ As the parent or guardian of the above named player, I/We hereby give approval to his/her participation in all activities of the program conducted by the GREATER BRIDGEPORT JUNIOR HOCKEY ASSOCIATION, INC. (GBJHA). I/We hereby waive, release, absolve, indemnify, and agree to hold harmless the GBJHA officers, directors, coaches, officials, volunteers, participants, and persons transporting the above named player to and from the above activities, for any claim arising out of injury to any person, or for damage which may occur, except to the extent, if any, and in the amount collected by accident and/or liability insurance which may be carried by GBJHA, Inc. I/We also grant permission for any representative of the GBJHA, Inc. to obtain medical care and treatment from any physician, nurse, ambulance, attendant hospital or medical clinic should the above player become ill or injured at any time during the hockey program. ____________________________________ ___________________________________ Parent/Guardian signature Date ____________________________________________________________________________________________ Fees required with registration form are as follows: Make checks payable to GBJHA or indicate credit card information Midget Tryout fee.......$75.00 House player fee for season .... ..$965.00 Credit Card Information (We do not accept Discover Card) Card Number_______________________________ Expiration Date:_______________ Card Holder Name_________________________ Card Holder Signature ________________________ Cardholder Address____________________________________________________________________________ (Street) (City) (Zip code) For GBJHA use only Travel: Tryout Fee $ recd USA Hockey # Date payment recd /0:;_`arst   IJĝweTFF8h CJOJQJ^JaJhx)CJOJQJ^JaJ hy5CJOJQJ\^JaJ#hy5>*CJOJQJ\^JaJ#hyB*CJOJQJ^JaJph&hy>*B*CJOJQJ^JaJph)jhCJOJQJU^JaJ#jhyCJOJQJU^JaJhyCJOJQJ^JaJ*hy56@ CJOJQJ\]^JaJ-hy56>*@ CJOJQJ\]^JaJ0 o * X . / r  ] ^`0$ @ j$d%d&d'dNOPQ] ^@ a$  ] ^gdy & F ]  & F & F & F^` & F ] $ & F H] a$ $Ha$gdy    ) * a b d e  - O [ \ p q y ߢtcUߔߔߔߔGhCCJOJQJ^JaJhCJOJQJ^JaJ hy5CJOJQJ\^JaJ#hy5>*CJOJQJ\^JaJhx)CJOJQJ^JaJhyCJOJQJ^JaJ#hyB*CJOJQJ^JaJph$hedh 0JCJOJQJ^JaJ/jhedhCJOJQJU^JaJh CJOJQJ^JaJ#jh CJOJQJU^JaJ    % & ' 9 A B C E J L X b c g h | } ~ 򓌅~wwi^SKSKh80CJaJh805CJ\aJh805CJ\aJjhmUmHnHu h`85\ h5\ hx)5\ h805\hyhCCJOJQJ^JaJ#hyB*CJOJQJ^JaJph&hy>*B*CJOJQJ^JaJph)johCJOJQJU^JaJ#jhyCJOJQJU^JaJhyCJOJQJ^JaJ B C D E F G H I J K L M N O P Q R S T U V W X Y gd80+ $d%d&d'dNOPQ] ^Y | ~ R `abkmWXYz{'\$a$gd80gd80 _`abmnklmpqstyκxj^OCOCOh`85>*CJ\aJh4h805>*CJ\aJh805>*CJ\aJjhmUmHnHuh80>*CJaJh805CJ\aJh5h805CJ\aJhx7h805CJ\aJ#h)qh805B*CJ\aJph& *hx)h805B*CJ\aJph *hx)h80B*CJaJph *hx)h80B*CJ$aJ$phh80CJaJh80CJaJFKWXYz{'Z[\for%ɻwowowc[Sh80CJaJh`8CJaJh805>*CJ\aJh80CJaJh80>*CJaJh80CJaJh_h805CJ\aJh_h_5CJ\aJh805>*CJ\aJh_5CJ\aJhLh805CJ\aJh4h805CJ\aJh80CJaJh4h80CJaJh805CJ\aJh805CJ\aJ %&()^_abx3CDyɻ|qfZOh805CJ\aJh805>*CJ\aJh805CJ\aJh805CJ\aJh4h805CJ\aJh[vh80CJaJh80CJaJh5h80CJaJh80CJaJh5h80CJaJh5h805CJ\aJjhmUmHnHuh5h805CJ\aJh805CJ\aJh80CJaJh`8CJaJ34CDyLM/0gd80gd80$a$gd80$&d P a$gd80$a$gd80"@CDGLM    hmhyh80@CJaJh80CJaJjhmUmHnHuh80h805>*CJ\aJh_,h805CJ\aJh`85CJ\aJh805CJ\aJh5CJ\aJ0      ( H^  !{H^Hgd80 $Ha$gd80gd80 20P/ =!H"Z#.$&% *29 01hP:p80/ =!@"@#$% DyK yK 2http://www.usahockey.comwDyK www.gbjha.orgyK ,http://www.gbjha.org/rDyK yK 6mailto:registrar@gbjha.orgsJ@J Normal 1$7$8$CJ_HaJmH sH tH DA@D Default Paragraph FontRi@R  Table Normal4 l4a (k@(No List 6U@6  Hyperlink >*B*ph>>@> 80Title$1$7$8$a$CJ aJ C8480o*X./BCDEFGHIJKLMNOPQRSTUVWXY|~Rj`abkmW X Y z {  ' \    34CDyLM/0    00 0 0 0 0 0 0 000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000 % Y 0 :`r %XXX8@ (  D    "D    "D    "  B!/? 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