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ONLINE REGISTRATION

Please select which session(s) you would like to register for and then fill out all the information correctly.

Please make sure your email address is left correctly.

A confirmation EMAIL will be sent to your email address once you submit the form. If you receive that email, your form was submitted successfully.

Please check off which clinic(s) you would like to register your son/daughter for. Multiple clinics can be selected per registration.

Session List *

Single Day Drop in- Mar 10th- March Break- Session 1

Single Day Drop in Mar 11th- March Break- Session 1

Single Day Drop in Mar 12th- March Break- Session 1

All 2 Monday Mornings

All 2 Thursday Mornings

All 4 Jan-Mar Mornings

Mon Mar 17th -7:00am-8:00am

Thurs Mar 20th -7:00am-8:00am

Mon Mar 24th -7:00am-8:00am

Thurs Mar 27th -7:00am-8:00am

Players Name*

Players Date of Birth (dd/mm/yyyy)*

Hockey Club*

Level

Jersey Colour (Only for those attending March Break Camp)

Jersey Size (Only for those attending March Break Camp)

Parent/Guardian Name (First and Last)*

Email Address * (please makesure spelling is correct)

Phone*

Would you like an invoice after payment?*

Select an option

Yes

DECLARATION & COMMITMENT OF PARTICIPANT

VIDEO/PHOTOGRAPH RELEASE FORM

WAIVER OF RECOURSE FOR PROPERTY DAMAGE

Acknowledgment*

Select an option

I HAVE READ AND AGREE WITH THE ABOVE STATEMENTS.

Thanks for submitting!

If you do not hear from me in 24-48 hours, please contact me

AFTER YOU HIT REGISTER, A SUCCESS MESSAGE WILL APPEAR BELOW THE REGISTER BUTTON SHOWING "THANKS FOR SUBMITTING".
IF YOU DO NOT SEE THIS SUCCESS MESSAGE, PLEASE CONTACT ME
THANK YOU!!

Coach Conte's Hockey Development

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