2019/2020 Fall Session Player Development Registration Form (LaSalle Minor Hockey Association)

Print 2019/2020 Fall Session Player Development Registration Form
General Information
Use this form to register and pay for the player clinic that is being offered by LMHA. Only full duration sign up is being offered. Dates: Sept 13, 20 , 27 Oct 4, 11, 18, 25 Nov 1, 15, 22, 29 Dec 13, 20, 27
    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]
      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.
      Session Information
      Dates: Sept 13, 20 , 27 Oct 4, 11, 18, 25 Nov 1, 15, 22, 29 Dec 13, 20, 27
      On Ice Helper Request
      NOTE: Any helpers 14 and under MUST wear full equipment on the ice.
      1. Payment for this clinic is required in order for any player to participate.  Only those who have paid will be eligible to participate.

        Payment is required through PayPal (either with your PayPal account or with a Credit Card through PayPal).  When you submit the registration form, you will be prompted for payment.
      Human Validation
      Printed from lasallesabres.com on Sunday, September 22, 2019 at 7:31 PM