2011 Winter 2021 Payment Plan2021 HPL Winter 2011 Birth Year Payment Subscription 1Step 12Step 22011 Birth Year - HPL Winter All players in 2011 HPL will be place on team with in the Organizations 2 skills practices and 2 game each weekHPL Player fee $795 plus GST PAID ALREADYHPL Team fee $4170 plus GST paid over 5 months***to avoid processing fees players can etransfer $875.70 paid by Sept 15, Oct 15, Nov 15, Dec 15 and Jan 15 to melissa@hplhockey.com instead of paying via paypalRegistration* Flyers Flyers etransfer $875.70 Lumberjacks Lumberjacks etransfer $875.70 Beavers Beavers etransfer $875.70 Bandits Bandits etransfer $875.70Price includes GST and processingRegistrationPlayer InformationName* First Last Birthdate* MM slash DD slash YYYY LAST NAME CAPS*Jersey #1*Jersey #2*Jersey Size*YSMYMYLYXLSMMGSMGMGLSock Size*SMLParent / Guardian InformationName* First Last Address Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email* Telephone*Please enter your home phoneMobile PhoneConsent and Waiver* I agree to the policy. Liability Waiver By selecting the 'I agree to the Liability Waiver' checkbox below and clicking the submit button, I agree and understand that I/My child/My ward agree that HPL Hockey, its directors, coaches, instructors, the Ice Hockey Arena and its employees will not be liable or held responsible for any accident or loss however caused and agree to release all mentioned parties from all claims and damages. I further verify that I/My child/My ward have no medical problems and am/is in good physical health and that the above mentioned parties will not be held responsible for any medical, dental, or insurance claims resulting from injury.I hereby grant HPL Hockey permission to use My/My child's/My ward's photo and/or name for promotional purposes. Return and Delivery PoliciesAll sales made through HPL Hockey Online Registration are subject to an administration fee for withdrawal from the program. After completing online payment, you are brought immediately to a receipt and confirmation page. This page acknowledges that you have completed the process and that your payment has been processed. You are instructed to print that page for your records. This page is your receipt and your product. This receipt should be kept as a record of your successful payment completion. This receipt is a record of your order is also kept by HPL Hockey. There are no refunds 3 weeks prior to program starting through HPL Hockey. No refunds are provided for Player fees or Deposits. If you decide not to utilize the services for which you paid, you have the right to refrain from participating, however, no refunds are available. All sales through the HPL Hockey are subject to administration fee (third party payment fee is a final sale 25% of program cost). If you have questions about this return policy or need assistance contacting registration@hplhockey.com Total $ 0.00 CAD NameThis field is for validation purposes and should be left unchanged.