REGISTRATION – Varsity Hockey

ONLINE REGISTRATION
Learn%20to%20Play%20Clinics%20(BEGINNER%20Program%20-%205:1%20Ratio)
Program%202
From Jan%205,%202020 to Mar%2022,%202020
295 + HST

Fill out the form to below to register for Learn%20to%20Play%20Clinics%20(BEGINNER%20Program%20-%205:1%20Ratio).

Player Name*
Hidden
Price
Hidden
Program
Hidden
Program Description
Hidden
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.