Warriors Boston ID Camp Registration
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Position
*
Please Select
Forward
Defence
Goalie
Shoots
*
Please Select
Left
Right
2025/2026 Team & Level
*
2024/2025 Team & Level
*
Healthcare Number
*
Medical Conditions or Allergies
*
Mother's Name
*
Father's Name
*
Parent Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about our camp?
*
Social Media
Flyers
Website
Email
Other
Payment
*
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Boston Forward Registration
$550.00 CAD
$
550.00
CAD
Boston Defence Registration
$550.00 CAD
$
550.00
CAD
Boston Goalie Registration
$600.00 CAD
$
600.00
CAD
Credit Card
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