Parents/Guardian
*
First Name
Last Name
Email
*
Confirmation Email
example@example.com
Phone Number
*
-
Area Code
Phone Number
Relationship to the Player
Player Name
First Name
Last Name
Gender
Male
Female
Level of Experience
1
2
3
4
Age
*
How did you find us?
Word of Mouth/Referral
Social Media
Newspaper Ad
Rink Advertising
Flyer/Poster
Select Programs
*
Ages 2-4 Parent & TOTZ
Ages 4-6 - Beginner & All Levels
Ages 7-12 - Beginner & All Levels
Spring- Summer
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next
( X )
Spring & Summer
$
480.00
CAD
City
Milton MSC - Milton Sports Centre
Subtotal
$
0.00
CAD
Tax
$
0.00
CAD
Total
$
0.00
CAD
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: