REGISTRATION – Varsity Hockey

ONLINE REGISTRATION
Power%20Skating%20and%20Skills%20Clinics%20(OPEN%20Program%20-%207:1%20Ratio)
Program%202%20(Please%20Specify%20Hour%20Next%20to%20Name%20in%20Brackets)
From Dec%201,%202019 to Jan%2026,%202020
250 + HST

Fill out the form to below to register for Power%20Skating%20and%20Skills%20Clinics%20(OPEN%20Program%20-%207:1%20Ratio).

Player Name*
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Price
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Program
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Program Description
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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
Name
This field is for validation purposes and should be left unchanged.