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SKILL SHOTs CLINICS
2011- 2012 REGISTRATION FORM
Novice - Atom   Pee Wee - Bantam
Participant's Name [s]:
Parent's Name:
Street Address:
City:
Province:
Postal Code:
Date Of Birth [s]:
Telephone:
Alternate or Cell Phone:
Parent's Email Address:
Health Card Number (s):
Medical Problems - Allergies:
WATFORD September Clinics : September 19 - 5 Weeks . 5 - 6 PM
WATFORD September Clinics : September 26 - 5 Weeks . 5 - 6 PM
FOREST CHECKING + SKATING Clinics : October 21 November 25
WATFORD POWER SKATING + SKILLS Clinics :
SUMMER 2012 FOREST Clinics: August 20 - 24 August 27 - 31
SUMMER 2012 MOORETOWN Clinics: July 23 - 27
How Did You Find Us:
Comments:

Payment Methods:
Cash  .   Cheque  .  Money Order


$100 Deposit or Full Payment Is Required For Summer Clinics
Balance Required By June 1 – 2012 BEFORE Summer Clinics Begin
We Have Waiting Lists So All Participants Must Confirm Payment By June 1 Please

 

Please Make Funds Payable To:
Todd Bidner
3489 Queen Street
Camlachie – Ontario
N0N 1E0
Fax Printable Form To:
519.869.6757

Skill Shots Hockey School


Skill Shots Hockey School

Participant's Name [s]:
Guardian's Name:
Date:
  

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Please CLICK HERE To Email Todd Bidner At Skill Shots hockey school and Hockey Camps

 

 

 

 

 

 

 

 

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