Pro Development Clinic 2020 (545pm)

Elliot Lake Vikings ID Camp

Ajax Community Center May 22-24 Registration at 3:30 pm
Full Name Player*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Players email address*
example@example.com
Players cell phone number*
Format: (000) 000-0000.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Citizenship*

CanadianAmericanDual
Height*
Weight*
Position*

CenterRight WingLeft WingDefense
Team/Level Played Last Season*
Coach Last Season*
Name of Advisor/contact number (if you have one)*
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Additional Comments
Payment Method $300 (HST included) (Payments are final, no refunds)*

E-transfer to: elvikingsjra@gmail.com
Contact Head Coach/General Manager Taurean White with any questions. taurean.white@elliotlakevikings.com 613-608-7124
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Elliot Lake Vikings ID Camp