Spare Board Registration

First Name: (required)

Last Name: (required)

Date of Birth (mm-dd-yy): (required)

Address:

City:

Postal Code:

CARHA insured?

Position:

Desired Division - Check all that apply
Rec Division - No age restrictions
35 Division - Must be 35 yrs old by May 31, 2016. Goaltenders minimum age 30
45 Division - Must be 45 yrs old by May 31, 2016. Goaltenders minimum age 40
55 Division - Must be 55 yrs old by May 31, 2016. Goaltenders minimum age 50

Phone:

Phone2:

Your Email (required)

Highest Level attained in organized Hockey


If not insured with NCHL, please make a $25.00 cheque payable to NOHL and mail to

NOHL
PO Box 622, Stn A
Nanaimo BC
V9R 5L9