2021 -2022 Application FormApplication: 2021-2022 HPL Winter Step 1 of 2 - Step 150%HPL Player Application Form - New/ReturningThis is the first step in filling out a player application form for the 2021 - 2022 season. Please make sure that all information you are providing is accurate. This is not a registration form, this is an application form. All applications will be reviewed and families will be contacted if more information is required.Upon acceptance to the HPL Winter Level Development program you will be contacted by a representative of HPL Hockey to submit further registration paperwork. At the time of acceptance minimum deposit of $795 will be due. The commitment will be fulfilled once HPL Hockey has received funds in its office. No verbal agreements are considered binding.If your child is accepted to our program and it is subsequently discovered that this acceptance was based, in part, on information received which was false, or misleading, or you omitted to provide pertinent information which might have affected our decision to accept this player, such player may be removed from the program forthwith without refund.HPL ApplicationSelect Birth Year2015 Division2014 Division2013 Division2012 Division2011 Division2010 Division2009 DivisionUp and Comers Division2015 DivisionSelect* New Players - by selecting this option, I understand that HPL Hockey will be reviewing our application as the space is extremely limited. We, the family, also realize that all players play only in their age group in HPL and we have selected the proper birth year for our child. HPL Hockey will review each applicant and assess if they have the proper skill level requirements to be a part of a high performance level program. There is no guarantee that any, or all, new registrants will be accepted this season because of limited numbers in the program. Returning Players - by selecting this option I am acknowledging my son or daughter was part of the HPL Winter Level Development Stream last seasonFuture Stars Division2014 DivisionSelect*New Players - by selecting this option, I understand that HPL Hockey will be reviewing our application as the space is extremely limited. We, the family, also realize that all players play only in their age group in HPL and we have selected the proper birth year for our child. HPL Hockey will review each applicant and assess if they have the proper skill level requirements to be a part of a high performance level program. There is no guarantee that any, or all, new registrants will be accepted this season because of limited numbers in the program.Returning Players - by selecting this option I am acknowledging my son or daughter was part of the HPL Winter Level Development Stream last seasonTop Performers Division2013 DivisionSelect*New Players - by selecting this option, I understand that HPL Hockey will be reviewing our application as the space is extremely limited. We, the family, also realize that all players play only in their age group in HPL and we have selected the proper birth year for our child. HPL Hockey will review each applicant and assess if they have the proper skill level requirements to be a part of a high performance level program. There is no guarantee that any, or all, new registrants will be accepted this season because of limited numbers in the program.Returning Players - by selecting this option I am acknowledging my son or daughter was part of the HPL Winter Level Development Stream last seasonMinor Division2012 DivisionSelect*New Players - by selecting this option, I understand that HPL Hockey will be reviewing our application as the space is extremely limited. We, the family, also realize that all players play only in their age group in HPL and we have selected the proper birth year for our child. HPL Hockey will review each applicant and assess if they have the proper skill level requirements to be a part of a high performance level program. There is no guarantee that any, or all, new registrants will be accepted this season because of limited numbers in the program.Returning Players - by selecting this option I am acknowledging my son or daughter was part of the HPL Winter Level Development Stream last seasonMajor Division2011 DivisionPrice includes GSTSelect*New Players - by selecting this option, I understand that HPL Hockey will be reviewing our application as the space is extremely limited. We, the family, also realize that all players play only in their age group in HPL and we have selected the proper birth year for our child. HPL Hockey will review each applicant and assess if they have the proper skill level requirements to be a part of a high performance level program. There is no guarantee that any, or all, new registrants will be accepted this season because of limited numbers in the program.Returning Players - by selecting this option I am acknowledging my son or daughter was part of the HPL Winter Level Development Stream last seasonU12 Division2010 DivisionYear / SessionNew Player - by selecting this option, I understand that HPL Hockey will be reviewing our application as the space is extremely limited. We, the family, also realize that all players play only in their age group in HPL and we have selected the proper birth year for our child. HPL Hockey will review each applicant and assess if they have the proper skill level requirements to be a part of a high performance level program. There is no guarantee that any, or all, new registrants will be accepted this season because of limited numbers in the program.Returning Player - by selecting this option I am acknowledging my son or daughter was part of the HPL Winter Level Development Stream last seasonU13 Division2009 DivisionYear / SessionNew Player - by selecting this option, I understand that HPL Hockey will be reviewing our application as the space is extremely limited. We, the family, also realize that all players play only in their age group in HPL and we have selected the proper birth year for our child. HPL Hockey will review each applicant and assess if they have the proper skill level requirements to be a part of a high performance level program. There is no guarantee that any, or all, new registrants will be accepted this season because of limited numbers in the program.Returning Player - by selecting this option I am acknowledging my son or daughter was part of the HPL Winter Level Development Stream last seasonRegistrationPlayer InformationPlayers Name* First Last Birthdate* Date Format: MM slash DD slash YYYY Position*ForwardDefenceGoalieLast Season organization*Current Spring Team*PhoneGuardian InformationName* First Last Email* Telephone*Number Preferred to be reachedAddress 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 Waiver and Return and Delivery PolicyYou must agree to the waiver and Return and Delivery Policy below in order to register and for this player to attend the hockey session.Liability WaiverBy 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 for tournaments unless cancelled due to health order or tournament provider. 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.comAgreement* I agree to the Waiver and Return and Delivery PoliciesTotal $ 0.00 CAD NameThis field is for validation purposes and should be left unchanged.