2018/2019 Fall Goalie Development Registration Form (LaSalle Minor Hockey Association)

Print 2018/2019 Fall Goalie Development Registration Form
This form has a limit of 4 submissions. At the moment this page loaded, 4 submissions have been submitted. It is possible that not all submissions have been validated at this time, and more openings could become available. However, at this time no more submissions are permitted.
General Information
Use this form to register and pay for a goalie clinic that is being offered by LMHA. At this time only full duration sign up is being offered. Dates: Sept 21, 28 Oct 5, 12, 19, Nov 2, 9, 30 Dec 14, 21, 28
    Email Confirmation
    You will receive a confirmation email after your submit the form. The confirmation will show you the information that you submitted. If you do not receive a confirmation email, please contact [email protected]
      PeeWee Major and Higher Shooters Needed
      10 PeeWee Major and older shooters are needed. Players must wear all required hockey gear on the ice. Please contact Derrick Laporte at [email protected] NOTE: Any helpers 14 and under must wear full equipment when on the ice.
        Player Information
        Please complete the below required section with your player's information.
        Parent Information
        Please include parent contact information
        1. Example: ###-###-####
        2. Example: [email protected] Your submission will be sent to this address.
        Payment Information
        Session runs: Sept 21, 28 Oct 5, 12, 19, Nov 2, 9, 30 Dec 14, 21, 28
        Human Validation
        This form has a limit of 4 submissions. At the moment this page loaded, 4 submissions have been submitted. It is possible that not all submissions have been validated at this time, and more openings could become available. However, at this time no more submissions are permitted.
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        Printed from lasallesabres.com on Monday, September 24, 2018 at 8:30 AM