Tip-Top Passover Hockey Camp – REGISTRATION HERE

Student Contact Information

First Name (required)

Last Name (required)

Date of birth (required)

Adress (required)

City (required)

Province (required)

Postal Code (required)

Helth Card (required)

Known Allergies (required)

Position

Weight

Height

Parent Contact Information

First Name (required)

Last Name (required)

Phone #1 (required)

Phone #2

Email (required)

Live in the same adress with student? NoYes (required)

Adress (required)

City (required)

Province (required)

Postal Code (required)

Emergency Contact Information

First Name(required)

Last Name(required)

Relation (required)

Phone (required)

Email (required)

Adress (required)

City (required)

Province (required)

Postal Code (required)

Other missing information about the registration

Additional 75$ Authentic RBK Hockey Jersey, Hockey Socks and tuques
YesNo

Paiement by cash or check (please right check to Tip-Top Hockey Academy)

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