REGISTRATION - Varsity Hockey

ONLINE REGISTRATION
Shooting Clinics (Group Circuit- 7:2 Ratio)
Program 2 (Sundays)
From Dec 1, 2019 to Jan 26, 2020
295 + HST

Fill out the form to below to register for Shooting Clinics (Group Circuit- 7:2 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
Name
This field is for validation purposes and should be left unchanged.