2022 ALLIANCE Hockey AGM - Delegate Registration (Minor Hockey Alliance of Ontario)

2022 ALLIANCE Hockey AGM - Delegate Registration

Please complete in full by Friday, April 29, 2022.

2022 ALLIANCE HOCKEY AGM DELEGATE REGISTRATION

Please submit the Delegate information as per the total number of votes your Association is allotted.

Name of Minor Hockey Member Association:^*

Required

Complete in full i.e. Stratford Minor Hockey Association

Name of Person completing this form:^*

Required

First & Last Name

Email:^*

Required

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

DELEGATE #1

Please complete in full.

Delegate #1 First Name:

Delegate #1 Last Name:

Delegate #1 Title:

i.e. Board Member, Registrar, Treasurer, etc.

Delegate #1 Email

Example: [email protected]

Delegate #1 Phone:

Example: ###-###-####

DELEGATE #2

Please complete in full.

Delegate #2 First Name:

Delegate #2 Last Name:

Delegate #2 Title:

Delegate #2 Email:

Example: [email protected]

Delegate #2 Phone:

Example: ###-###-####

DELEGATE #3

Please complete in full.

Delegate #3 First Name:

Delegate #3 Last Name:

Delegate #3 Title:

Delegate #3 Email:

Example: [email protected]

Delegate #3 Phone:

Example: ###-###-####

DELEGATE #4

Please complete in full.

Delegate #4 First Name:

Delegate #4 Last Name:

Delegate #4 Title:

Delegate #4 Email:

Example: [email protected]

Delegate #4 Phone:

Example: ###-###-####

DELEGATE #5

Please complete in full.

Delegate #5 First Name:

Delegate #5 Last Name:

Delegate #5 Title:

Delegate #5 Email:

Example: [email protected]

Delegate #5 Phone:

Example: ###-###-####

DELEGATE #6

Please complete in full.

Delegate #6 First Name:

Delegate #6 Last Name:

Delegate #6 Title:

Delegate #6 Email:

Example: [email protected]

Delegate #6 Phone:

Example: ###-###-####

DELEGATE #7

Please complete in full.

Delegate #7 First Name:

Delegate #7 Last Name:

Delegate #7 Title:

Delegate #7 Email:

Example: [email protected]

Delegate #7 Phone:

Example: ###-###-####

DELEGATE #8

Please complete in full.

Delegate #8 First Name:

Delegate #8 Last Name:

Delegate #8 Title:

Delegate #8 Email:

Example: [email protected]

Delegate #8 Phone:

Example: ###-###-####

DELEGATE #9

Please complete in full.

Delegate #9 First Name:

Delegate #9 Last Name:

Delegate #9 Title:

Delegate #9 Email:

Example: [email protected]

Delegate #9 Phone:

Example: ###-###-####

DELEGATE #10

Please complete in full.

Delegate #10 First Name:

Delegate #10 Last Name:

Delegate #10 Title:

Delegate #10 Email:

Example: [email protected]

Delegate #10 Phone:

Example: ###-###-####

DELEGATE #11

Please complete in full.

Delegate #11 First Name:

Delegate #11 Last Name:

Delegate #11 Title:

Delegate #11 Email:

Example: [email protected]

Delegate #11 Phone:

Example: ###-###-####

DELEGATE #12

Please complete in full.

Delegate #12 First Name:

Delegate #12 Last Name:

Delegate #12 Title:

Delegate #12 Email:

Example: [email protected]

Delegate #12 Phone:

Example: ###-###-####

Thank you for completing and submitting this form.

This information will be used to REGISTER the Delegate(s) for participation in the 2022 ALLIANCE Hockey AGM being held on Saturday, June 4, 2022 8:30am.

Please ensure that all requested information is completed for all Delegates.

DELEGATE REGISTRATION CLOSES on April 29, 2022.

I agree to the terms and conditions stated above^*

2022 ALLIANCE Hockey AGM - Delegate Registration (Minor Hockey Alliance of Ontario)

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AA-A

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MD

House League

2022 ALLIANCE HOCKEY AGM DELEGATE REGISTRATION

DELEGATE #1

DELEGATE #2

DELEGATE #3

DELEGATE #4

DELEGATE #5

DELEGATE #6

DELEGATE #7

DELEGATE #8

DELEGATE #9

DELEGATE #10

DELEGATE #11

DELEGATE #12