REGISTRATION – Varsity Hockey

ONLINE REGISTRATION
Shooting%20Clinics%20(Group%20Circuit-%207:2%20Ratio)
Program%201%20(Saturdays)%20$215%20 %20Tax
From May%2011,%202019 to Jun%2022,%202019
250 + HST

Fill out the form to below to register for Shooting%20Clinics%20(Group%20Circuit-%207:2%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*
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- Yes
Comments / Notes
Name
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