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Peterborough Liftlock Atom Hockey Tournament Powered by Goalline Sports Administration Software
Home > 2026 Rep Team Registration


Event Information

  • LocationPeterborough
  • Start DateJan 9, 2026
  • End DateJan 11, 2026
  • Contact NameBrian Walsh
  • Contact Emailbrian.walsh1@sympatico.ca
  • SanctionedYes

OMHA Sanctioned:  # 30821


Application Deadline:  November 21, 2025

Submission of this application form does not constitute acceptance into the tournament.  You will be contacted by a Tournament Division Coordinator in regards to your teams acceptance into the Tournament on or before: December 1, 2025

Tournament Details:
  • SCHEDULE will be available by January 1, 2026
  • NO TOURNAMENT DOOR ADMISSION AT ARENAS 
  • NON CONTACT
  • PLEASE READ TOURNAMENT RULES ON OUR WEBSITE: Tournament Rules

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IMPORTANT THINGS TO REMEMBER WHEN COMPLETING YOUR APPLICATION FORM:
  • Enter full names of both your team officials and your players.  These names will be printed in the tournament booklet.
  • Ensure that all information entered into your online application form is correct and there are no spelling mistakes. 
  • Upload your teams Official Roster & Travel Permit.  If you have it.  If not please send it to us as soon as you do.    
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* Indicates Required Field

Division/Age Group: *
Association Name: *
Association Website:
Team Name: *
Home Jersey Color: *
Away Jersey Color: *
Upload your Teams Official Roster & Travel Permit:

Select Your Hockey Association * OMHA  
 NOHA  
 GTHL  
 HEO  
 MOHA  
 Alliance  
Will your team be attempting to qualify for the Silver Stick Tournament * No  
 Yes, my team will be attempting to qualify for the Silver Stick Tournament  

  First Name * Last Name * Birthdate * Phone * Email * Certification #
Head Coach *
Assistant Coach
Assistant Coach
Assistant Coach
Manager
Trainer

Main Contact (Manager Preferred) Full Information

Note: This information will be combined with the information above for the main contact.
Choose Main Contact: *
First Name: *
Last Name: *
Birthdate: *
Phone: *
Email: *
Address 1: *
Address 2:
City: *
Prov/State: *
Country:
Postal/ZIP Code:
Players and coaches emails will automatically be opted in to receive email.

Player Information

  First Name*Last Name*Birthdate *AP
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19

Program Information

Rep Registration


Payment Information

Payment Type: Offline

Payment to be made by e-Transfer or by Cheque/Money Order and included with completed package

Choose a payment method:
  1. ​Electronic Transfer (e-Transfer) - Preferred method of payment
    • ​​​Contact our Tournament Treasurer Lynda Gall by email at lyndagall@outlook.com to receive instructions on what to enter as the password for the e-Transfer
    • Login to your online banking software and create a new e-Transfer
      • Enter your team's Manager's name and Head Coach's name in the message section.
      • Enter the text "Team Entry Fee" along with your Team Name (i.e. Peterborough Petes) as the security question
      • Enter the password supplied by our Tournament Treasurer Lynda Gall
    • Send e-Transfer to: lyndagall@outlook.com
  2. Cheque or Money Order​
    • Payable to:  Peterborough Liftlock Atom Hockey Tournament
    • ​Mail to:  Lynda Gall, 150 DeClair Road Madoc, On K0K 2K0
    • Non-Sufficient Fund (NSF) Cheques – A bank fee or surcharge of $20.00 in addition to the entry fee.
    • Cheque or Money Order must be received before your team is accepted into the tournament.
REFUND POLICY
Any team accepted by the Tournament Committee; withdrawing after December 1, 2025 will forfeit their entry fee.

Policies

Waiver

Submitting this Entry Form, the team representative, on behalf of his/her team releases the sponsors, officials, arena management and all concerned with this tournament from any liability for any accident or injury which may be incurred by any player, team official or spectator while participating in, coming to or leaving from the tournament. 

Photo and Video Consent
In compliance with the Municipal Freedom of Information and Protection of Privacy Act, the Peterborough Liftlock Hockey Tournament requires permission to allow photo/video recording of identifiable players and coaches.

I authorize the Peterborough Liftlock Hockey Tournament to use photographs and names of players, coaches, and other team officials on the Peterborough Liftlock Hockey Tournament website and other media publications.

Privacy Policy

This personal information is being collected by the Peterborough Liftlock Hockey Tournament will be used to facilitate the tournament and will not be used or disclosed for other purposes, unless permitted by The Freedom of Information and Protection of Privacy Act (FIPPA). If you have any questions about the collection of your personal information, contact the contacting the Peterborough Liftlock Atom Hockey Tournament at info@liftlockatomhockey.ca.

I consent to the Peterborough Liftlock Atom Hockey Tournament collecting my personal information.

I consent to allowing the Peterborough Liftlock Hockey Tournament to share my personal information with the Peterborough Petes for promotional ticket information.

Refund Policy

Any team accepted by the Tournament Committee; withdrawing after December 4, 2025 will forfeit their entry fee.

Contact Information

  • Contact Name: Brian Walsh
  • Contact Email: brian.walsh1@sympatico.ca

CASL Information

I agree to allow the Peterborough Liftlock Hockey Tournament to contact me by email regarding my registration form and other hockey tournament. I may withdraw my consent at anytime by contacting the Peterborough Liftlock Hockey Tournament Chairperson.

Offline Payment Instructions

Choose a payment method:
  1. ​Electronic Transfer (e-Transfer) - Preferred method of payment
    • ​​​Contact our Tournament Treasurer Lynda Gall at lyndagall@outlook.com to receive instructions on what to enter as the password for the e-Transfer
    • Log in to your online banking software and create a new e-Transfer
      • Enter your team's Manager name and Head Coach name in the message section.
      • Enter the text "Team Entry Fee" along with your Team Name (i.e. Peterborough Petes) as the security question
      • Enter the password supplied by our Tournament Treasurer Lynda Gall
    • Send e-Transfer to: lyndagall@outlook.com
  2. Cheque or Money Order​
    • Payable to:  Peterborough Liftlock Atom Hockey Tournament
    • ​Mail to:  Lynda Gall, 150 DeClair Road Madoc, On K0K 2K0
    • Non-Sufficient Fund (NSF) Cheques – A bank fee or surcharge of $20.00 in addition to entry fee.
    • Cheque or Money Order must be recieved before your team is accepted into the tournament.


* Indicates Required Field

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