HOT LINE FOR PARENTS: 514-581-9126

OPEN HOUSE – OCTOBER 10TH, 2021

    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

    Shoots

    Weight (required)

    Height (required)

    Program

    Additional 100$ non-refundable registration fee for the starting package witch include Hockey Jersey, Hockey Socks and apparel



    Parent Contact Information

    First Name (required)

    Last Name (required)

    Phone #1 (required)

    Phone #2

    Email (required)

    Live in the same adress with student? (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