Participant Information
If registering multiple, please fill out a registration form for each participant.
Name of Participant
*
First Name
Last Name
Position?
*
Defense
Forward
Defense/Forward
Goalie
Date of Birth
*
-
Month
-
Day
Year
We separate groups based on age.
Emergency Contact
Name
*
First Name
Last Name
Relationship to Participant
*
Email
*
example@example.com
Phone Number (Best to Use During Clinic)
*
-
Area Code
xxx-xxxx
Address
*
Street Address
Street Address Line 2
City
State
Postal / Zip Code
Session Preference
*
July 20th at Warrior Ice Arena Session 1 (1 p.m- 2:20 p.m)
July 20th at Warrior Ice Arena Session 2 (2:30 p.m - 3:50 p.m)
August 19th at Hyannis Youth Community Center Session 1 (4 p.m - 5:20 p.m)
August 19th at Hyannis Youth Community Center Session 2 (5:30 p.m - 6:50 p.m)
Payment Information
My Products
*
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Clinic Registration
$
199.00
Online Registration Fee
$
5.00
Total
$
0.00
Credit Card
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