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ONLINE REGISTRATION


From to
+ HST

Fill out the form to below to register for .

• Player Name*
• Hidden
  Price
• Hidden
  Program
• Hidden
  Program Description
• Hidden
  Program Dates
• Gender*
  • Female
  • Male
• Date Of Birth*
  Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920

  Month123456789101112

  Day12345678910111213141516171819202122232425262728293031
• Current Level*
  • Beginner
  • House League / Recreational
  • Intercity / Select
  • A
  • AA
  • AAA
• Parent / Guardian's Name
• Parent / Guardian's Email*
• Home Contact Phone Number*
• Mobile Contact Phone Number
• Credit Card Number*
• Expiry Date*
• CVC Code*
• Join Our Mailing List
  • Yes
• Comments / Notes
• Phone
  This field is for validation purposes and should be left unchanged.

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