2019/2020 Winter Goalie Development Registration Form (LaSalle Minor Hockey Association)

Print 2019/2020 Winter Goalie Development Registration Form
This form has a limit of 16 submissions. At the moment this page loaded, 11 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 only 5 more submissions will be accepted.
General Information
Use this form to register and pay for a goalie clinic that is being offered by LMHA. Dates: Jan 10, 17, 24, 31 Feb 7, 14, 21, 28 Mar 6
    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.
      Payment Information
      Session runs: Jan 10, 17, 24, 31 Feb 7, 14, 21, 28 Mar 6
      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
      This form has a limit of 16 submissions. At the moment this page loaded, 11 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 only 5 more submissions will be accepted.
      Printed from lasallesabres.com on Tuesday, January 28, 2020 at 6:28 AM