HNB Skate Your Way Program Registration (Dieppe)
Ages 5-18
Player Name
First Name
Last Name
Parent or guardian name?
Parent Email
example@example.com
Phone Number
Please enter a valid phone number.
City and province (ie: Dieppe, NB)
Did you participate in program last season?
Any previous skating experience?
Currently on a minor hockey association roster?
Any information coaches should be aware of for practice sessions?
Can commit to 10 bi-weekly sessions at the Dieppe UNIplex on Saturday FOR 1 HOUR?
This is a fill in the
blanks
field. Please add appropriate
blank
fields and text.
Hockey Jersey Size (Youth Med, Large, XL, Adult S, M, L, XL)
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