Diamond Valley Rockies ID Skate Registration
Please complete all required fields and submit payment to secure your spot for the Diamond Valley Rockies ID Skate. Venue Location: Chestermere Recreation Centre. The ice times are scheduled as follows: - May 1st: 7:00 PM – 8:15 PM (Game) - May 2nd: 5:45 PM – 6:30 PM (Individual Skill Development and Practice) and 6:45 PM – 7:45 PM (Game) - May 3rd: 5:15 PM – 6:15 PM
Player Information
Player First Name
*
Player Last Name
*
Date of Birth
*
-
Month
-
Day
Year
Date
Player Email
*
example@example.com
Player Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Primary Position
*
Forward
Defence
Goalie
Shoots
*
Left
Right
Height (in feet/inches or cm)
*
Weight (in lbs or kg)
*
Current Team / Last Team Played
*
Level Most Recently Played
*
Please Select
U18
Junior B
Junior A
College
Other
Are you 18 years of age or older?
*
Yes
No
Parent / Guardian Information
Parent/Guardian Name
*
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Medical / Emergency Information
Emergency Contact Name
*
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Medical Conditions / Notes (optional)
Waiver & Policies
Digital Signature
Full Name (Printed)
*
Date Signed
*
-
Month
-
Day
Year
Date
Signature (Draw, Type, or Upload)
*
Payment
Submit Registration
Submit Registration
Diamond Valley Rockies ID Skate Registration Fee
*
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Forward Position
Secure your spot for the Diamond Valley Rockies ID Skate.
$
175.00
CAD
Quantity
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Defence Position
Secure your spot for the Diamond Valley Rockies ID Skate.
$
175.00
CAD
Quantity
1
2
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Goalie Position
Secure your spot for the Diamond Valley Rockies ID Skate.
$
175.00
CAD
Quantity
1
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Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
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