External Sports Credit Application

External Sports Credit Application
Applicant Information
First Name
Last Name
Street Address
City / Town
If your city/town does not appear in the list, please select the location closest to your home.
Postal Code
Phone
Format: (000) 000-0000.
Fax
Format: (000) 000-0000.
Email
Applying for
As a
Educational Information
Name of Secondary School Currently Attending
School Address
City / Town
Postal Code
Name of School Contact
Contact Phone
Format: (000) 000-0000.
Contact Email
Hockey Experience
Last Season's Team
Last Season's Category
This Season's Team
This Season's Category
High Performance Experience
Include BC's High Performance Program and Hockey Canada's Program of Excellence
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Submission Date

YearMonthDay
Date
Hour Minutes
Approved?
Should be Empty:

Applicant Information