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Registration

 
Product/Service registering for
Date(s) of Prod or Service  
Day 1   
Day 2   
Day 3   
Registering Team or Single
Name of Team or Child
Desired division/level to play in?
   
If a Team, please describe  
Age Range
Approximate levels played
Name of Team leader 1
            Cell/Main telephone
            Email Address
Name of Team leader 2
            Cell/Main telephone
            Email Address
   
If a Child, please describe  
Age
No. of years skating
No. of years playing hockey
Last/current division played for
Height
Weight
T-shirt size
Shoots (right/left)
Parent Guardian 1
            Cell/Main telephone
            Email Address
Parent Guardian 2
            Cell/Main telephone
            Email Address
   
Please complete the address for both
            Home Address
            City
            Postal Code
            Other Phone No.
            Province
   
What are your Child's goals in Hockey this year?
What do you hope to gain from this product or service?
Have you read/printed/signed &
submitted our Consent Form?
If not please complete the Consent Form
   
Do you have a Gift Certificate
or Coupon to submit?
   
Does your Child have any
special needs
Please identify your need  
   
Please be advised special needs will not be specifically accommodated if your child is unable to address their needs we suggest this program is not for you.
   
IF you are interested in one of our other products or Services then please link to our Get A Quote page and we will get back to you immediately.
   
Additional Comments  
   
 

 

Upcoming Events

  • Conroy Hockey
  • Spring Summer 2010

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Testimonials

Sorry we have not been at all the ice times, we've done allot of camping this year. But for what we have been there for, you've been amazing with the kids and I have noticed a LARGE improvement with Joseph’s game!!

Melissa Labbe
August 09

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