Lady Patriots U-Can

Interested Player*

First NameLast Name

Player's DOB*

MonthDayYear

USA Hockey IMR*

Mother's Name*

First NameLast Name

E-mail (Mother)*

Father's Name*

First NameLast Name

E-mail (Father)*

example@example.com

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Cell Phone (Mother)*

Area CodePhone Number

Cell Phone (Father)*

Area CodePhone Number

Comments

Tuesday's @ Hatfield, 5:10-6:10pmFridays @ Hockey Heaven, 5:45-6:45pm

Days & Times

Sessions will be determined by the end of July and will run from September thru February at Hatfield Ice. Generally we try to setup a Tuesday / Friday schedule for our U-Can program

One SessionTwo Session

Pay OnlinePay by Check

OpenOn HoldType option 3Type option 4

Full Tuition Payment 1 Session: $495.00
Full Tuition Payment 2 Session: $895.00

Please Make Check Payable to:

Lady Patriots Hockey
P.O. Box 2297
Warminster, PA 18974

Online Payments*

Full Payment - 1 Session per week$495.00

Full Payment - 2 Sessions per week$895.00

Subtotal $0.00Shipping $0.00Total $0.00

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Lady Patriots - U-Can - Registration Page

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