REGISTRATION – Varsity Hockey

ONLINE REGISTRATION
Port%20Credit%20Skating%20and%20Skills%20Program
Port%20Credit%20Skating%20
From Sep%2029,%202019 to Dec%2015,%202019
240 + HST

Fill out the form to below to register for Port%20Credit%20Skating%20and%20Skills%20Program.

Player Name*
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Program
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Program Description
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Program Dates
Gender*
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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*
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Comments / Notes
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