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
Please verify that you are human*
Submission Date

YearMonthDay
Date
Hour Minutes
Approved?
Should be Empty:

Applicant Information