Officials Information Form (Delhi Rockets

Winter Session 2

Print Officials Information Form

Please complete form and select submit at the bottom. The information will be used to create your online profile for scheduling officials as well to pay Officials using E-transfer system. Please ensure that your "email address" is the one you will be using for your E-transfer deposit. Any questions with regards to payment, please contact [email protected]

Officials Information

Full Name^*
Contact email^*

Example: [email protected] Your submission will be sent to this address.
E-transfer Email Address^*

the email you will have set up to accept Autodeposit e-transfer
Contact phone number^*

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

Date of Birth

Open the calendar popup.

required for youth refs - not adult refs

Name of Contact Person^*

Parent/Guardian for Youth Official
OMHA Referee Number^*

I give permission for Delhi Minor Hockey Treasurer to use the given E-transfer email address to provide payment for services to Delhi Minor Hockey.

I will set up Autodeposit option with my bank institution if possible, therefore no password will be needed to accept my deposits from DMH.

I agree to the terms and conditions stated above^*

Human Validation