Individual Registration Form
First Name
Last Name
Parent/Guardian
(First and Last Name)
Address
City
Prov/State
Country
Pc/Zip
Email
Home#
Business#
Fax
Birthdate /  / 
Male
Female
  Height                Weight  
Current Level
Position Played
Health Card #
Allergies/Med Cond:
Medications
What do you expect our hockey programs to do for you?
Note: Prices as of date and subject to change
Team Registration Form
Team Name
Age
Level
Address
City
Prov/State
Country
Pc/Zip
Email
Home#
Business#
Fax
Time Slot
How Many?              
Players
What do you expect our hockey programs to do for you?

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