Parent Declaration FormTO: The Local Minor Hockey Association (c/o Registrar) in which the Player will be registeringDate MM slash DD slash YYYY I/We the parent(s) of the player First Last Player name First Last Player Date Of Birth Day Month Year Hereby declare that I/We have established our permanent residence at the following address: Address Street Address Address Line 2 City Postal Code PhoneWe have resided at the above address since MM slash DD slash YYYY Our Former Address Street Address Address Line 2 City Postal SignatureConsent* I hereby declare that the information provided is true the the extend of my knowlege.