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Home
About Us
Insurance
Our Blog
Resources
Submit a Claim
Contact Us
Insurance Application forms
For Leagues
For Tournaments
For Shinny/Pickup
For Teams
league insurance Application
League Details
League Name
Type
Contact
Non-contact
Number of Teams
Number of Players
Start Date
End Date
Additionally Insured
Primary Contact
First Name
Last Name
Email
Phone Number
Alternate Phone Number
Secondary Contact (If Applicable
First Name
Last Name
Email
Phone Number
Alternate Phone Number
Acknowledgement
Acknowledgement
Each participant, or in the case of a minor, each parent/guardian of a participant, acknowledges that participation in the OMNI Hockey team/league entails inherent risks of physical injury and that participation is voluntarily. The participant, or the participants parent/guardian, assumes full responsibility for any risks of loss, property damage or personal injury that may be sustained as a result of participating in the OMNI Hockey team/league.
Submit
APPLICATION FOR HOCKEY TOURNAMENT SANCTIONING
Tournament Details
Tournament Name
Type
Contact
Non-contact
Number of Teams
Start Date
End Date
Additionally Insured
Primary Contact
First Name
Last Name
Email
Phone Number
Alternate Phone Number
Secondary Contact (If Applicable
First Name
Last Name
Email
Phone Number
Alternate Phone Number
Acknowledgement
Acknowledgement
Each participant, or in the case of a minor, each parent/guardian of a participant, acknowledges that participation in the OMNI Hockey team/league entails inherent risks of physical injury and that participation is voluntarily. The participant, or the participants parent/guardian, assumes full responsibility for any risks of loss, property damage or personal injury that may be sustained as a result of participating in the OMNI Hockey team/league.
Submit
Shinny insurance Application
Group Details
Group Name
Type
Contact
Non-contact
Number of Players
Start Date
End Date
Additionally Insured
Primary Contact
First Name
Last Name
Email
Phone Number
Alternate Phone Number
Secondary Contact (If Applicable
First Name
Last Name
Email
Phone Number
Alternate Phone Number
Acknowledgement
Acknowledgement
Each participant, or in the case of a minor, each parent/guardian of a participant, acknowledges that participation in the OMNI Hockey team/league entails inherent risks of physical injury and that participation is voluntarily. The participant, or the participants parent/guardian, assumes full responsibility for any risks of loss, property damage or personal injury that may be sustained as a result of participating in the OMNI Hockey team/league.
Submit
Team Insurance Application
Primary Contact
First Name
Last Name
Email
Phone Number
Alternate Phone Number
Address
City
Prov/Terr
AB
BC
MB
NB
NL
NT
NS
NU
ON
PE
QC
SK
YK
Postal Code
Secondary Contact
First Name
Last Name
Email
Phone Number
Alternate Phone Number
Team Information
Team Name
Type
Contact
Non-contact
Number of Players
Number of Coaches
Number of Tournaments Attending
Birth Years
Gender
Boys
Girls
Both
Season Start Date
Season End Date
Acknowledgement
Acknowledgement
Each participant, or in the case of a minor, each parent/guardian of a participant, acknowledges that participation in the OMNI Hockey team/league entails inherent risks of physical injury and that participation is voluntarily. The participant, or the participants parent/guardian, assumes full responsibility for any risks of loss, property damage or personal injury that may be sustained as a result of participating in the OMNI Hockey team/league.
Submit
