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Skinner Hockey 2015 School Registration
 
Parent/Guardian:
First Name
Last Name
Address
City
State/Province Zip
Email Address
Hm Phone
Wk Phone
 
Select Desired Training Session Below
Promo/Ad Code
 
Player Registration Information
 
Player 1:   Male   Female
First Name
Last Name
Date of Birth
Player 2:   Male   Female
First Name
Last Name
Date of Birth
Player 3:   Male   Female
First Name
Last Name
Date of Birth
Player 4:   Male   Female
First Name
Last Name
Date of Birth
Payment Options: (US Currency)
 
Amount Option:
  Full Payment $
 
Employee Information:
ID (optional)
 
Method of Payment:
Card Type
Name on Card
Card Number
Billing Zip Code
Billing Country
Expiration Date
 
  I have read and agree to the Registration Policy and Waiver.

Note: Clicking this button more than (1) one time will result in your credit card being charged more than once!
*Confirmations will be sent via Email only