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PLAYER INFORMATION
PARENT/GUARDIAN INFORMATION
JERSEY INFORMATION

First Name: *

Player's First Name

Last Name: *

Player's Last Name

Middle Initial:

Birthdate: *

Gender: * Male Female

Height: * Feet : Inches:

Weight (LBS): *

Position: *

Forward

Defense

Goalie

Shoots: * Left Right

Winter Team Played For: *

Level - Winter Team Played for: *

Please Enter The Level: *

Age Group Registering For: *

Notes:

Address: *

Address 2:

City: *

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Zip: *

Parent/Guardian First Name: *

Parent/Guardian Last Name: *

Phone Number 1: *

Phone Number 2:

Parent/Guardian 1 Email: *

Parent/Guardian 2 First Name:

Parent/Guardian 2 Last Name:

Parent/Guardian 2 Phone Number 1:

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Parent/Guardian 2 Email:

Jersey Size: *

Jersey Number: *

Alternate Jersey Number: *

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- Pro Hockey Skills Training
  
  (1 hour session)
  .
  
  CAD $42.00 plus HST
- Pro Hockey Skills Training Session
  
  (1.5 hours session)
  .
  
  CAD $63.00 plus HST
- Pro Hockey Skills Training Session
  
  (2 hours session)
  .
  
  CAD $84.00 plus HST
- Pro Hockey Skills Training Session
  
  (2.5 hours session)
  .
  
  CAD $105.00 plus HST
- Pro Hockey Skills Training Session
  
  (3.0 hours session)
  .
  
  CAD $126.00 plus HST
- Pro Hockey Summer Evaluation Camp
  
  The Sports Village
  2004, 2005, 2006, 2007
  July 29 - August 1, 2019
  
  CAD $669.00 plus HST
- Pro Hockey Summer Evaluation Camp
  
  The Sports Village
  2010, 2011, 2012
  July 22-25, 2019
  
  CAD $669.00 plus HST
- The BRICK 2020 Evaluation Camp
  
  Westwood Arena
  2010
  Tuesday August 6 - Friday August 9, 2019
  
  CAD $530.00 plus HST

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(416) 271-0755

prohockey_vickie@rogers.com

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