Medicine Hat Cubs Main Camp & Conditioning Camp Registration 2026
Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Previous team played
Position
*
Please Select
Forward
Defenseman
Goalie
Height
*
Weight
*
Hand
*
Left
Right
Mother Name, Phone Number & Email
*
Name
Phone Number
Email address
Father Name, Phone Number & Email
*
Name
Phone Number
Email address
Emergency contact(if different from parents)
Name
Phone Number
Provincial healthcare #
*
Attending main camp($150) September 4-6 times will be communicated by emailed prior to camp
*
Yes
No
Attending Conditioning camp Big Marble Go Arena($30/skate)
*
All Dates($100)
Tues Aug 18 8pm-9:15pm
Thurs Aug 20 8pm-9:15pm
Mon Aug 24 8pm-9:15pm
Tues Aug 25 8pm-9:15pm
Wed Aug 26 8pm-9:15pm
Not attending
Allergies
*
Billet required if you make the team
*
yes
No
Parental signature if under 18
Payment type
*
Etransfer medhatcubs@gmail.com
Cash
Cheque payable to "Medicine Hat Cubs Hockey Club"
If you have any questions or concerns please feel free to contact Randy @ 403-502-1000 or Trent @ 403-502-4366 or email medhatcubs@gmail.com
Submit
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