Ice Puffins Interest

1
Parent's name:* This field is required.
First Name
Last Name
2
Parent's email:* This field is required.
example@example.com
3
Where do you live?* This field is required.
Please Select
Please Select
London
Middlesex County (Komoka, Kilworth, Ilderton, etc)
Strathroy-Caradoc
Other
4
Your daughter's birth year:* This field is required.
Please Select
Please Select
2016
2017
2018
2019
2020
Other
5
What are you interested in?* This field is required.Check all that apply
Fall/Winter Program
Spring/Summer Program
Occasional "Free Play" Skates
3v3 Tournaments
Volunteering or Coaching
Sponsoring
6
Tell us a bit about your child and why you're interested in Ice Puffins:* This field is required.
You can include things like hockey experience, what you're looking for in a program, etc.
Should be Empty: