What
How
Why
Who
Connect
What
How
Why
Who
Technique Training for Hockey Players
Connect
Step 1: Program Registration Form
Which Program?
*
Please select the programs for which you want to register. Check all that apply.
2020 Fall Program: September to December - Lethbridge - $0.00
2020 Winter Program: January-March - Lethbridge - $0.00
2020 Spring Program: May to June - Lethbridge - $360.00
Participant Name
*
First Name
Last Name
Age
*
Date of Birth
*
MM
DD
YYYY
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email Address
*
Parent/Guardian/Emergency Contact
*
First Name
Last Name
Primary Phone
*
(###)
###
####
Secondary Phone
*
(###)
###
####
Healthcare Number
Tier
*
Please check only one:
Novice
Atom
Pee Wee
Bantam
Midget
Junior
Pro
League
*
City / House / Recreation
Travel / Competitive
Thank you for your registration!
PROCEED TO STEP 2: RELEASE OF LIABILITY FORM