Registration Form with Payment 2019-2020 (Newmarket & District Ringette Association)

Print Registration Form with Payment 2019-2020
Please fill out all required questions. After submitting you will be given the option to pay by paypal, cheque or E-transfer.
Player Information
Please fill out all questions
  1. A1B 2C3
  2. Example: ###-###-####
  3. Example: [email protected] Your submission will be sent to this address.
  4. RadDatePicker
    Open the calendar popup.
  5. Allergies, Asthma, etc.. (Please indicate severity)
  6. based on age as of Dec 31, 2019
For Players New to NDRA
Only for new Players
  1. How many years have they been skating and in what sport or context
  2. Referral
Parents Information (Adult Players do not need to complete)
  1. Indicate Same as above if applicable
  2. Indicate Same as above if applicable
  3. Example: ###-###-####
  4. Indicate Same as above if applicable
  5. Indicate Same as above if applicable
  6. Example: ###-###-####
Emergency Contact
  1. Example: ###-###-####
Would you like to help your child and the NDRA?
Select any that apply

  1. Check All That Apply
  1. In consideration of the Town of Newmarket and the Newmarket Ringette Association Inc. permitting my/our child to participate in Ringette, I/we hereby promise to indemnify and save harmless, the Town of Newmarket, its council and all employees and servants, and the Newmarket Ringette Association Inc. and all members, from and against all claims, demands, actions, and proceedings by whomsoever brought in respect of any costs, expenses, loss, damage, or injury, including death, arising by reason of or in connection with my/our child’s participation in the said activities, and hereby release and forever discharge the Town of Newmarket, its council, and all employees and servants, and the Newmarket Ringette Association Inc. and its members from and against all claims or demands whatsoever which we, our child or his/her heirs, executors, administrators, or assigns can share or may have by reason of my/our participation in such activities, or by reason of the provision of medical care to me/him/her. In the event where I/we are unavailable at the arena, or unable to grant my/our permission, I/we hereby grant my/our permission of the above named person to receive medical treatment, as deemed necessary on that occasion.

    I/We accept full responsibility for all costs incurred to obtain this medical treatment. 

    I/We accept and understand that there is a $100 non-refundable administration fee on all Registrations, once the season commences. Further, no refunds will be issued after November 1st of the playing season.

    I/We hereby agree to allow my/our child’s name and/or picture to be used for promotional purposes only. 

    I/We the parent(s) or legal guardian of the person indicated above hereby certify that we have read the above and agree to the terms and conditions as stated.

    I, the undersigned (registrant or legal parent/guardian), in registering with Ringette Ontario as a Registered Affiliate or Associate Registered Affiliate Member, agree to abide and be governed by all prescribed by-laws, rules, 
    regulations, policies, principles and philosophies as outlined in the Corporation’s Operating Manual, circulated to the Registered Member and Associate Registered member on an annual basis.
Multi Player Family Discount
Qualified Families to receive multi player discount amount will be reimbursed by NDRA in November, 2019 via cheque.
  1. Please enter the Siblings name
Payment Section
Please note Newmarket Ringette now accepts Credit Card Payments through this website. After hitting submit you will be directed to the paypal website where you can complete your transaction. Cheques should be mailed to: Newmarket Ringette Association Inc., 1111 Davis Drive, Suite #1-125, Newmarket, Ontario, L3Y 9E5
  1. Select a Payment method
  2. This is a Fee for the Convenience of paying online through PAY PAL. This Fee Is non-refundable. This is ONLY IF YOU ARE PAYING USING PAY PAL.
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Printed from on Tuesday, October 22, 2019 at 12:31 AM