Hockey Camp Form

First name:  
Last name:  
Email address:  
Street address:  
City & Province/State:  
Country:  
Postal code/zip code:  
Home phone:  
Work or cell phone:  
Citizenship:  
Date of birth:   Day Month Year
Last team:  
Last position:  
Shoots:   Left Right
Height (in inches):  
Weight (in pounds):  

What are your goals
with this camp:

  

Which camp are you
registering for:

 

Canadian Hockey Camp
Tryouts

Father's Name:

  
Mother's Name:  
     
   

* If you have difficultly submitting this form please CONTACT US DIRECTLY, either by telephone (450-415-0656) or by email. Be sure to include your telephone number (with area code and country) so that we can get back to you right away to register you.