REGISTRATION - Varsity Hockey

ONLINE REGISTRATION
Creative Puck Handling Clinics (OPEN Program - 7:1 Ratio)
Program 1
From May 4, 2019 to Jun 22, 2019
210 + HST

Fill out the form to below to register for Creative Puck Handling Clinics (OPEN Program - 7:1 Ratio).

Player Name*
Price
Program
Program Description
Program Dates
Gender*
- Female
- Male
Date Of Birth*
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
Email
This field is for validation purposes and should be left unchanged.