Hockey Manitoba - Minor Hockey Association Contact Information

Minor Hockey Association Contact Information

Respondent

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First name *

Last name *

Email *

Mobile

Minor Hockey Association *

Region *

MHA Website Link *

Please note that the address below will be used for sending mail to your MHA, including cheques, registration packages, etc. Be sure to provide a mailing address that is actively monitored.

MHA Mailing Address (Including Street, Municipality / Town, & Postal Code) *

MHA Primary Email *

MHA Primary Phone Number *

President

President Information

First name *

Last name *

Email *

Phone Number To Be Included On Website

Phone Number To Be Used by Hockey Manitoba ONLY (can be same as above): *

Registrar

Registrar Information

First name *

Last name *

Email *

Phone Number To Be Included On Website

Phone Number To Be Used by Hockey Manitoba ONLY (can be same as above): *

Secretary

Secretary Information

First name *

Last name *

Email *

Phone Number To Be Included On Website

Phone Number To Be Used by Hockey Manitoba ONLY (can be same as above): *

Treasurer

Treasurer Information

First name *

Last name *

Email *

Phone Number To Be Included On Website

Phone Number To Be Used by Hockey Manitoba ONLY (can be same as above): *

Referee-In-Chief

Referee-In-Chief Information

First name *

Last name *

Email *

Phone Number To Be Included On Website

Phone Number To Be Used by Hockey Manitoba ONLY (can be same as above): *

The above information is collected and is required by Hockey Manitoba (its employees, team officials, volunteers, leagues and associations) to facilitate its hockey programs and to administer the rules that govern sanctioned events.

Hockey Manitoba treats this information with the utmost respect and in accordance with the Hockey Manitoba Privacy Policy at all times. For further information on Hockey Manitoba’s Privacy Policy, please visit our website at www.hockeymanitoba.ca

I have read the information above and understand that the information submitted will be placed on the Hockey Manitoba website. *

In order to remain a member in good standing with Hockey Manitoba, it is vital that this form be completed once your Executive Committee is in place for the current season. As well as any time there are changes to your Executive Committee.