2023-2024 Timekeeper Application (Peterborough Hockey Association)

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Print 2023-2024 Timekeeper Application

Personal Information

Name^*

First Name Last Name (ie. Pete Hockey)
Full Address including Postal Code^*

ie. 123 Petes Drive, Peterborough, ON K9J 8H7
Email Address^*

Example: [email protected]
Home Phone No.^*

Example: ###-###-####
Cell Phone No.^*

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

Date of Birth^*

Open the calendar popup.

Do you play hockey, if so what level and team^*
Are you currently a PHA Timekeeper?^*
YesNo

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^*

Human Validation

Check The Box ^*