The Buccaneers are back in action this Thursday night taking on the Victoria Cougars at 715 pm Nanaimo Ice Centre. Come out and cheer on your local talent.

VISH Registration

Run and Operated by the Nanaimo Buccaneers Junior Hockey Club

Season Dates April 1 to May 10

Prep Ice times Tues and Thurs (14 Games Total)
Elite Ice times Wed and Sat (14 Games Total)

Cost: $325

Division:

Prep 1999-2004Elite 2005-2007

Player Info:

First Name:

Last Name:

Address:

Phone Number:

Email:

Birthdate:

Position:

Last Level Played:

Last Team:

Special Requests:

Emergency Contact / Parent Info

Parent 1
Name:

Phone Number:

Email:

Parent 2
Name:

Phone Number:

Email:

Medical Information

Care Card Number:

Allergies:

Previous Medical Issues:

Previous Concussions:
YesNo

If Yes, how many and how long ago:

I confirm that both the player and parent have read and acknowledge both the league rules and the waiver form.

Volunteering

I am willing to be on a bench for one of the teams.
I can volunteer for time clock and scoresheet.

Payment Information

Please select one:
Arrange cash payment with Clayton Robinson or Curtis Toneff at Buccaneer's officeE transfer the funds to buccaneers@nullshaw.ca (Please reference players name)Credit Card (We will follow up with you via email to arrange payment)

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