Adult Registration Form
If you require information on the Ottawa Blues Ball Hockey Registration, please contact John Stuthers at john.struthers@obbha.ca or by calling (613) 761-3106
* Indicates required field
Registration Type
Which season are you interested in?




Player Information
First Name (Player)
 *
Last Name (Player) *
Address line *
City *
Postal Code *
Province *
Phone Number *
Email Address *
Language Preference
What is your night of preference? *
Are you a goalie?
Gender *
Registration Fees

Total Fall & Winter 130.00$ Spring-Summer 105.00$ - Pro Rated Pricing also available

Cancellation Policy: Refunds will be given for requests emailed before the start of the season. After that date, we regret no refunds will be issued; however we will accept substitute players.
Payment Options:
Online Payment
You can pay your registration fee immediately by credit card online (Visa, Master card, or Amex). The credit card will be processed immediately through our Personal Pay Pal Account.
Cheque By requesting cheque, you will be required to send your payment to the mailing address below.
Please indicate your preferred method of payment:
Choose your payment method: *

If paying by cheque, payment must be received within 15 days of your registration. Please make cheque payable to OBBHA Inc., and mail to:

OBBHA Inc.
1106 David Manchester Rd.
Carp, Ontario
K0A 1L0

Once you click "Submit" at the bottom of the screen, you will select the payment option again to complete the payment process.

Additional Information & Comments

Please provide us with any feedback or additional comments:


See you on the Floor!

Release
The OBBHA Inc., I, the undersigned parent/guardian, hereby release and discharge (OBBHA) from any and all claims, demands, actions and causes of action which I may have for any damages, loss or injury suffered by my child or incurred by me and resulting directly of indirectly from the participation of such child in such program. I hereby undertake to indemnify the OBBHA, its agents and staff and hold them from and in respect of any and all claims, demands, actions and/or proceedings which may be brought about as a result of participating in the aforesaid program. Moreover, any cost and expenses incurred in defending any and all claims, demands, actions and proceedings shall be the responsibility of the said parent / guardian. Furthermore, I give permission for my child's photo to be used in any OBBHA promotional material, including the website player's profile stats.
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