New Player Profile (Jordan Minor Hockey)

New Player Profile

Please complete this form in its entirety to establish an account number with Hockey Canada. Jordan Lions Minor Hockey will create an online profile with Hockey Canada for your player. JLMHA will treat this personal information with the utmost respect and in accordance with the Hockey Canada and OMHA Privacy Policy at all times. You will be asked to upload a picture of 1 drivers license. This is mandatory by the OMHA. Please make sure it matches with the address you are registering your child with. Thank You.

First Name^*

Required

Last Name^*

Required

Birth Date^*

Required

Contact Information

Primary Parent/Guardian Name^*

Required

Primary Parent/Guardian Phone Number^*

Required

Primary Parent/Guardian Cell Number^*

Required

Primary Parent/Guardian Email Address^*

Required

Emergency Contact

Please enter contact information different than that of the primary parent.

First Name^*

Required

Last Name^*

Required

Cell Number^*

Required

Relationship to player^*

Required

Please attach a copy of your driver's license.

Allowed extensions: .jpeg, .jpg, .png, gif.
Maximum # Files: 2. Maximum File Size: 4MB.

Address

Hockey Canada requires addresses of both parents for residency purposes. for single parents with full custody, please upload your information twice. This may limit where the player can be registered to play until backup documentation is received.

Parent # 1 Address^*

Required

Parent # 1 City^*

Required

Parent # 1 Postal Code^*

Required

Parent # 2 Address^*

Required

Parent # 2 City^*

Required

Parent # 2 Postal Code^*

Required

New Player Profile (Jordan Minor Hockey)

OMHA Digital Network

Contact Information

Emergency Contact

Address

Get Mobile!

Contact Us