U15 Futures Camp
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Position
*
Please Select
Forward
Defense
Goalie
Shoots
*
Please Select
Left
Right
Height
*
Weight
*
2022/2023 Team & Level
*
2021/2022 Team & Level
*
Healthcare Number
*
Medical Conditions or Allergies
Parent Contact Name
*
Parent Phone Number
*
Please enter a valid phone number.
Parent Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Payment
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U15 Player Registration Fee
$
375.00
CAD
U15 Goalie Registration Fee
$
425.00
CAD
Credit Card
How did you hear about our camp?
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Social Media
Flyers
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