Canadian Regionals > 2022-2023 > South Western Region > Kincardine Regional > 2022 Kincardine Regional Silver Stick Registration Form (International Silver Stick)

2022 Kincardine Regional Silver Stick Registration Form

35th Annual Kincardine Silver Stick
Regional Qualifier Tournament
OMHA Sanction Number: 11079

PLEASE NOTE: the U13C and U15C Divisions are full!!

By submitting this form you are entering the 35th Annual Kincardine Silver Stick Regional Qualifier Tournament. This tournament is being held in Kincardine, Ontario and the surrounding area from December 27th, 2022 to December 30th, 2022. The U13 Divisions are Non-Contact, The U15 Divisions have body contact. Sanction Number 11079, and the Tournament Registration Fee is $1,050.00/team.

YOUR SPOT IN THE TOURNAMENT IS NOT GUARANTEED UNTIL PAYMENT HAS BEEN MADE AND YOUR ENTRY CONFIRMED BY THE TOURNAMENT DIRECTOR.

Payment can be made via PayPal (using a PayPal account or Credit Card) or via cheque. Please use the dropdown box below to indicate how you will be making payment.

If you chose PayPal the next screen will indicate you have a balance of $1,050 owing and there will be a link to proceed to PayPal and complete your payment.

Please follow these instructions if you are electing to send a cheque:

Please make the cheque payable to Kincardine Silver Stick Tournament
Please be sure the cheque indicates which team the payment is for
Please notify Derrick Burrows at [email protected] when the cheque has been set
Mail your cheque to:

             KMHA Silver Stick Tournament
             653 Pipers Court
             Kincardine, Ontario   N2Z 0A1

Upon submission you agree to the Tournament Rules that are posted on this website. You are aware that you must provide an APPROVED Travel Permit and Hockey Canada Official Roster by NO LATER THAN Monday 5th, 2022. Please send your Travel Permit and Approved Roster to Nathan McAnsh at [email protected].

I agree to the terms and conditions stated above^*

Your Infomation

Please enter YOUR information below

Full Name^*

Required

Email Address^*

Required

Example: [email protected]. Your submission will be sent to this address.

Phone Number^*

Required

Information About Your Team

Please provide the following information regarding the team you are registering for the Kincardine Silver Stick Regional. PLEASE NOTE: The U13C and U15C Divisions are full!

Minor Hockey Association Name^*

Required

ie. Kincardine Minor Hockey Association

Team Name^*

Required

ie. Kincardine Kanucks

Division^*

U15 U13

Required

Jersey Colours (Home and Away)^*

Required

Enter the main colour of both your home and away jerseys indicating which is which.

Coach & Team Contact Information

Please enter the name and contact information for the team's Head Coach and at least one other point of contact for the team (usually a Team Manager). These are the people we will contact when needed and will include on any communications regarding the tournament

Head Coach Name^*

Required

Head Coach Email Address^*

Required

Head Coach Phone Number^*

Required

Team Contact Name^*

Required

Team Contact Email Address^*

Required

Team Contact Phone Number^*

Required

(optional) Alternate Contact Name

(optional) Alternate Contact Email

(optional) Alternate Contact Phone

Tournament Registration Fee

The 2022 Kincardine Silver Stick Tournament Registration Fee is $1,050.00/team. Payment can be made via PayPal (PayPal account or Credit Card) or via cheque sent to KMHA Silver Stick Tournament, 653 Pipers Court, Kincardine, Ontario N2Z 0A1.

Payment Option^*

Required

2022 Kincardine Regional Silver Stick Registration Form, Kincardine Regional, South Western Region, 2022-2023, Canadian Regionals (International Silver Stick)

Your Infomation

Information About Your Team

Coach & Team Contact Information

Tournament Registration Fee

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