Fall Pond Hockey Registration - West Kelowna Hockey Centre

Child's Name

First

Last

chart Please (Please

Birthdate (Please ensure birth year is entered correctly)

Gender

Male
Female

Provincial Medical Health Number (all participants must have BC Health insurance)

Parent/Guardian Name

First

Last

Phone Number

Email Address

Please select which minor hockey association you play with

West Kelowna Minor Hockey
Kelowna Minor Hockey
No association
Other

Please select your child's SKATING skill level (Participants MUST be able to skate to participate in our program)

Beginner - still learning basic skating/stopping
Developing - can skate independently but still building confidence
Intermediate - comfortable skating and playing in games
Advanced - strong skater with high confidence and experience

Please select your child's HOCKEY skill level

Beginner - new to hockey or still learning the basics
Developing - understands basic gameplay and can participate independently
Intermediate - comfortable in games with solid puck control, passing, and awareness of gameplay
Advanced - strong skills with high confidence, game awareness, and competitive experience

PLAYER REGISTRATION $540+GST (Refer to 2026/27 Season Age Group Charts)

U7: Sundays @ 3:45pm
U9: Sundays @4:55pm
U12: Sundays @6:05pm
GOALIE - $270+GST (Only select this option if you have pre-registered and received confirmation of your spot via email)

Email manager@wkhc.ca for goalie registration or any questions. Registration cost listed is pre-GST. If your child would be better placed in an age group different than their own, register them for the most appropriate division and specify in the notes section. We reserve the right to place your child up or down an age group if skill level is better matched in one different than their own.

OFFICIAL JERSEYS REQUIRED ($50+tax) - Please check one below

My child does NOT have a Pond Hockey jersey - Price is for both jerseys (pre-tax)
My child already has both (blue & yellow) official Pond Hockey jersey (PLEASE double-check to ensure jersey still fits!)

If your child does NOT have our official Pond Hockey jerseys, please select a size below. Refer to the sizing chart below from jersey manufacturer. If in doubt, go with the larger size! ALL players must wear official jerseys, which are special ordered and CANNOT be returned or exchanged, so please ensure your size selection is accurate.

Special information or requests (i.e., allergies, medical, different age group, sibling grouping, etc.)

Please ensure any and all allergies are listed**

Photo & Video Consent

Yes, I give permission
No, I do not give permission

I give WKHC permission to photograph or record my child during WKHC programs and to use these images or recordings on its website, social media, and promotional materials.

Payment

Card

Name on Card

Billing Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

By checking this box you agree to the terms and conditions of our Pond Hockey Program, as outlined below:

I accept these terms and conditions

I submit this Waiver and Usage Agreement on behalf of the minor named above (the “PARTICIPANT”), who will be visiting or participating in an ice program or any private rental at the West Kelowna Hockey Centre (“WKHC”).

I confirm that I am the PARTICIPANT’s legal guardian, am at least nineteen (19) years old, and have read, understood and voluntarily agreed to this Agreement.

I acknowledge that skating, hockey and related activities involve inherent risks, including serious injury, illness, property damage and death. To the fullest extent permitted by law, I release and discharge WKHC and its owners, employees, agents and successors from all claims or liability arising from the PARTICIPANT’s presence at or participation in activities at WKHC, including claims arising from negligence.

I agree that the PARTICIPANT and accompanying guests will:
• Follow all WKHC rules, safety requirements and staff instructions.
• Behave responsibly and refrain from unsafe, disruptive, abusive or destructive conduct.
• Wear all equipment required for their activity, including a CSA-approved helmet, while on the ice or player benches.
• Remain off the ice until the scheduled start time and leave promptly at the end of the session.
• Remain off the ice during resurfacing until the Zamboni has left and the arena gates are closed.
• Keep dressing rooms and other occupied areas clean and vacate dressing rooms within 20 minutes after the session.
• Stay out of restricted areas and refrain from spitting, sharing water bottles, or bringing food into dressing rooms.
• Refrain from smoking, vaping or consuming alcohol or illegal drugs anywhere on WKHC property.

Children must be supervised by a parent, guardian, designated group representative or authorized WKHC program staff, as applicable. Private rental groups must designate a responsible adult who is at least 19 years old to supervise the group.

The PARTICIPANT or responsible group representative may be charged for damage, excessive cleaning or other costs resulting from the conduct of the PARTICIPANT or anyone associated with their group. WKHC is not responsible for lost, stolen or damaged personal property.

WKHC may refuse entry or remove, suspend or prohibit anyone whose conduct violates WKHC policies or poses a risk to people, property or facility operations.

Ice bookings and program registrations are non-refundable. No refund or credit will be provided for participant cancellations, withdrawals or missed sessions. If WKHC cancels a session or makes a significant schedule change, WKHC will make reasonable efforts to provide a rescheduled session, credit or other appropriate accommodation.

By submitting this form, I confirm that I have read, understand and agree to this Waiver and Usage Agreement.