Roster Application - At Large (Burlington City Rep Hockey Club)

Print Roster Application - At Large
The At Large Roster is used by Teams to add back up Coaches and Trainers when their team roster is at it's 5-person capacity. The Club does not cover the certification costs for At Large members with the exception of their Police Check.
  1. RadDatePicker
    Open the calendar popup.
    Required to access Hockey Canada profile
  2. Full Address including Postal Code
Contact Info
This contact info will be used by the Eagles Office Staff and Administration.
  1. Example: ###-###-####
Criminal Offence Declaration

  1. I hereby declare the above statements to be true
Human Validation