The Burlington Pond :: Register Now

Register Now!

Please Note: Payment is not taken online. Once registration form is submitted, you will be contacted the next business day with payment procedure.

Start Date
Program Name
Parent/Guardian Name *
Participant Name *
Level of Ice Hockey Played last season
Birthdate *
Health Card #
Address 1 *
Address 2
City *
Province *
Postal Code *
Home Phone Number *
Alternate Phone Number
Email Address *
Method of Payment (Payment NOT received online) *
I would like to play	Rep Houseleague
Position Played
If you are a goalie...	Would you like to play goal as a sub for other teams?
Are you (the parent) interested in...	Coaching/ Helping Sponsorship ($175 +HST)
Company Name
Additional Information
Release Of Liability / Acknowledgement of Risk *	I give my approval to my child's participation in all activities of the Burlington Pond Hockey Training Center and assume all risk and hazards incidental to such participation. I do waive, release, absolve, indemnify and agree to hold harmless the Burlington Pond Hockey Training Centre and/or its proprietors. I certify that the applicant is in good physical and mental health and is able to participate in the physical activity of a vigorous program
Privacy Policy *	I agree to the terms of The Pond's Privacy Policy (link below).