Camp-Registration

All responses required except (*)
Your Name

Your Email

Street Address

City

Province/State

Postal/Zip Code

Home or Guardian's Phone

Cell Phone

Guardians Name(s)

Date of Birth

Height

Weight

Position
—Please choose an option—CentreLeft WingRight WingDefenceGoaltender
Shoots/Catches
—Please choose an option—LeftRight
Level Played Last Season

Team Last Season

Coach Last Season

Last Coach's Email Address (*)

Last Coach's Phone Number (*)

Years of Hockey Experience

Comments (*)