Pre -Registration Winter Academy

Player Name *

First

Last

Current Team *

Age *

Parent Name *

First

Last

Email *

Phone *

I plan on participating in this year's Winter Hockey Academy *

• Yes
• No

I plan on signing up for *

• Full Season - 16 Hours of Ice - $250
• 1st Half (Nov, Dec) - 8 Hours of ice - $150
• 2nd Half (Jan, Feb) - 8 Hours of ice - $150
• Monthly - $85

Please provide any additional Questions or Comments:

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