Please complete:
Example: [email protected]. Your submission will be sent to this address.
Example: ###-###-####
This will be the primary method of communication if applicant is less than 18 years of age as of January 1st, 2026.
i.e. Stratford Minor Hockey Association / London Referees Group, etc.
i.e. Stratford Wolves
Please include your most recent Average %.
i.e. 1. Western University, Physics, 2. Fanshawe College, Marketing, etc.
Please provide the following documents to strengthen your application: 1. One page letter outlining request (summary of application, community involvement, hockey experience, academics, extracurriculars, etc.), 2. Proof of academic record (report card/transcript), 3. Supporting letter from one of the following: coach, hockey/referee association or school teacher, 4. Any other supporting documents.
Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.Maximum # Files: 1. Maximum File Size: 4MB.
Allowed extensions: .jpeg, .jpg, .png, gif, .pdf, .doc, .docx, .xls, .xlsx, .ppt, .pptx.Maximum # Files: 5. Maximum File Size: 4MB.