2025-2026 Timekeeper Application Form (Peterborough Hockey Association)

2025-2026 Timekeeper Application Form

Personal Information

Name^*

Required

First Name Last Name (ie. Pete Hockey)

Full Address including Postal Code^*

Required

ie. 123 Petes Drive, Peterborough, ON K9J 8H7

Email Address^*

Required

Example: [email protected]

Home Phone No.^*

Required

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

Cell Phone No.^*

Required

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

Date of Birth^*

Required

Do you play hockey, if so what level and team^*

Required

Are you currently a PHA Timekeeper?^*

YesNo

Required

All successful applicants will be required to sign a PHA Timekeeper Code of Conduct. All adult Timekeepers will be required to complete and submit a PHA Timekeeper Police Check.

I agree to the terms and conditions stated above^*

2025-2026 Timekeeper Application Form (Peterborough Hockey Association)

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Personal Information

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