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Registration

Player Info:

Player's First Name
Player's Last Name

Player's Date of Birth

Month
Day
Year
 

Parent/Guardian Information:

Parent/Guardian's First Name
Parent/Guardian's Last Name
Cell Phone
Phone
Email
Address
Address 2
City
Province
Postal Code

Hockey History

What Division are you registering for?
 
 
 
 
 
 
What Level of Play are you registering for?
 
 
 
 
 
Hockey Academy (inner house) atom age members. Are you interested in participating with atom selects?
 
 
 
Are you a goalie
 
Current Association:
If you play for another association do you have a release or permission to skate (PTS)?
 
 
 
 
Parent/Guardian Volunteer