Underage Player Application Form

Underage Player Application Form

SAMHA 2022-2023 Season
• Please read SAMHA Policy 3.10 prior to ensure all criteria has been met to make application.

• SAMHA may revoke underage status at any time, when it has deemed that the actions of the underage player are not in the best interests of those affected by those actions.

• Prior to this applicant participating in any SAMHA and Hockey Alberta sanctioned event as an Underage Player, final approval must be granted from SAMHA per policy 3.10.

• Applications must be accompanied by the appropriate letter(s) of reference per the policy.
Player Name:*

First NameLast Name
Date of Birth:*

MonthDayYear
Date
Gender:

MaleFemalePrefer not to say
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Height:
Weight:
Years Played:
Position

ForwardDefenceGoalie
Phone Number
Please enter a valid phone number.
Email
example@example.com
Last Minor Hockey Association:
Team Played On:
Division:
Tier:
Last Coach Name:
Last Coach Email:
example@example.com
Signature of Parent/Guardian:*

Clear
Phone Number of Parent/Guardian:
Please enter a valid phone number.
Date:

MonthDayYear
Date
I have read Samha Policy 3.10 prior to completing this application (link at the top of this form):*

Yes
Should be Empty: