Learn to Skate/Stick and Puck Fall 2023 (Streetsville Hockey League)

Print Learn to Skate/Stick and Puck Fall 2023

Player Information

For info on our Learn to Skate/Stick and Puck Program, please go to https://streetsvillehockey.com/Pages/1477/Learn_to_Skate_Stick_and_Puck/

Player First Name^*
Player Last Name^*
Birth Year^*
Birth Month^*
Birth Day^*
Gender^*
FemaleMale
Primary Email Contact:^*

Example: yo[email protected]. Your submission will be sent to this address.
Primary Phone Number^*

905-555-5555
Street Address^*
Suite Number
City^*
Province^*
Ontario
Country^*
Canada
Postal Code^*
Has your child skated before?^*

Parent Information

Required if participant is under 18

Parents Email^*
Parents First Name^*
Parents Last Name^*
Parents Phone Number^*

Payment

Online Payments

Payment^*

Human Validation

Check The Box ^*