First Aid Kit Request (Milton Minor Hockey)
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First Aid Kit Request
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First Aid Kit Request
The team trainer is responsible for requesting a first aid kit, and with returning the kit to the office at the end of the season. Failure to return the kit by March 25th of each season will result in a monetary penalty of $30.00 being charged to the team trainer. Please contact the office if supplies need to be replaced thru the season. Once the online form is complete, please pop into the office to pick up your kit. By picking up your first aid kit, you are agreeing to the information on this form.
Team Information
Team requesting First Aid Kit
*
Select One...
FS - FIRST SHIFT FALL
Goalie Development - House League Goalie Development
FS - Second Shift
U8-9 - U8 MD Tier 1
U8-9 - U8 MD Tier 2
U8-9 - U9 MD Tier 1
U8-9 - U9 MD Tier 2
MHL - Select MHL - MHL ICE
U5-7 - U7 Select
U5-7 - U5 - U5 Team 1-Toronto White
U16-21 - U1621H - Team 1-Canadiens
U14-15 - Team 1-Canadiens
U12-13 - Team 1-Canadiens
U5-7 - U5 - U5 Team 2-Winnipeg Blue
U16-21 - U1621H - Team 2-Leafs
U14-15 - Team 2-Leafs
U12-13 - Team 2-Leafs
U16-21 - U1621H - Team 3-Bruins
U14-15 - Team 3-Bruins
U12-13 - Team 3-Bruins
U16-21 - U1621H - Team 4-Flames
U14-15 - Team 4-Flames
U12-13 - Team 4-Flames
U14-15 - Team 5-Senators
U16-21 - U1621H - Team 5-Senators
U16-21 - U1621H - Team 6-Oilers
U16-21 - U1621H - Team 7-Stars
U14-15 - Team 6-Oilers
U12-13 - Team 5-Senators
U14-15 - Team 7-Stars
U12-13 - Team 6-Oilers
U12-13 - Team 7-Stars
U16-21 - U1621H - Team 8-Kings
U14-15 - Team 8-Kings
U16-21 - U1621H - Team 9-Sharks
U12-13 - Team 8-Kings
U16-21 - U1621H - Team 10-Penguins
U5-7 - U6/7WH - U6 -7 Team 1-Leafs
U5-7 - U6/7WH - U6-7 Team 2-Jets
U5-7 - U6/7WH - U 6-7 Team 3-Bruins
U5-7 - U6/7WH - U6-7 Team 4-Canadiens
U5-7 - U6/7EH - Team 5-Senators
U5-7 - U6/7EH - U6-7 Team 6-Kings
U5-7 - U6/7EH - U6-7 Team 7-Sharks
U5-7 - U6/7EH - U6-7 Team 8-Flyers
U8-9 - Team 1-Bruins
U8-9 - Team 2-Canadiens
U8-9 - Team 3-Senators
U8-9 - Team 4-Wild
U8-9 - Team 5-Boston
U8-9 - Team 6-Montreal
U8-9 - Team 7-Ottawa
U8-9 - Team 8-Minnesota
U10-11 - Team 1-white/black
U10-11 - Team 2-sky blue
U10-11 - Team 3-yellow
U10-11 - Team 4-red
U10-11 - Team 5-black/red
U10-11 - Team 6-green
U10-11 - Team 7-Blue
U10-11 - Team 8-tan
U10-11 - U10 AA
U10-11 - U10 A
U10-11 - U10 BB
U12-13 - U12 AA
U10-11 - U11 AA
U10-11 - U11 A
U12-13 - U12 A
U10-11 - U11 BB
U12-13 - U12 BB White
U12-13 - U12 BB Blue
U12-13 - U13 AA
U12-13 - U13 A White
U12-13 - U13 A Blue
U12-13 - U13 BB
U14-15 - U14 AA
U14-15 - U14 A
U14-15 - U14 BB White
U14-15 - U14 BB Blue
U14-15 - U14 Select
U14-15 - U15 AA
U16-21 - U16 AA
U14-15 - U15 A
U16-21 - U16 A
U14-15 - U15 BB White
U16-21 - U16 BB
U14-15 - U15 BB Blue
U16-21 - U16 BB Blue
U14-15 - U15 Select
U10-11 - U11 Select
U16-21 - U16 Select Team 1
U16-21 - U16 Select Team 2
U12-13 - U13 Select
U16-21 - U18 AA
U16-21 - U18 A White
U16-21 - U18 A Blue
U16-21 - U18 BB White
U16-21 - U18 BB Blue
U16-21 - U18 Select
Name
*
Email address
*
Confirmation will be sent to this email address
Phone #
*
Example: ###-###-####
Office Use Only
First Aid Kit Picked up?
yes
Check All That Apply
Human Validation
Check The Box
*
Human Validation Failed, Please Try Again