Learn to Skate/Stick and Puck Fall 2024 (Streetsville Hockey League)

Learn to Skate/Stick and Puck Fall 2024

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^*

Required

Player Last Name^*

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Birth Year^*

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Birth Month^*

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Birth Day^*

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Gender^*

FemaleMale

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Primary Email Contact:^*

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Example: [email protected]. Your submission will be sent to this address.

Primary Phone Number^*

Required

905-555-5555

Street Address^*

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Suite Number

City^*

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Province^*

Ontario

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Country^*

Canada

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Postal Code^*

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Has your child skated before?^*

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Parent Information

Required if participant is under 18

Parents Email^*

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Parents First Name^*

Required

Parents Last Name^*

Required

Parents Phone Number^*

Required

Payment

Online Payments

Payment^*

Required

Learn to Skate/Stick and Puck Fall 2024 (Streetsville Hockey League)

Player Information

Parent Information

Payment

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