Summer Hockey School Registration
August 21-25, 2017
Parent or Guardian
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Player Name
*
First Name
Last Name
Age Group
*
8 & under
9 - 10
11 - 13
Position
*
Player
Goalie
Healthcare #
*
Medical Conditions / Allergies
Comments / Requests
Emergency Contact
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Hockey School
*
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Registration
$
375.00
CAD
Enter coupon
Apply
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
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