U12 Skills and Power Skating (Peterborough Minor Petes)

U12 Skills and Power Skating

Player's First Name^*

Required

Player's Last Name^*

Required

Date of Birth^*

Required

Team Last Season^*

Required

e.g. U9 Petes AAA

Position^*

Forward
Defence
Goalie

Required

Shoots / Catches^*

LeftRight

Required

Parent Name^*

Required

First Last

Street Address^*

Required

City/Town^*

Required

Postal Code^*

Required

Phone^*

Required

In Case of Emergency

Email^*

Required

I understand the PMHC will use this address to inform me about organization and team related items.

I hereby release the Peterborough Minor Hockey Council of any liability due to any injury, accident or loss of property during activities under its auspices.

I agree to the terms and conditions stated above^*

I understand that in putting my player's name forward there is limited spacing for this camp and I may be on a wait list. Coaches will confirm registration.

I agree to the terms and conditions stated above^*

U12 Skills and Power Skating (Peterborough Minor Petes)

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