PARENT/GUARDIAN INFORMATION
Please enter your email address
Please enter your postal code
Please enter your first name
Please enter your last name
Format: 1234567890
Please enter a valid phone number in this format: 1234567890
Please enter your gender
CHILD'S INFORMATION (aged 13 to 17)
Please enter the first name of your child
Please enter the last name of your child
Please select the position of your child
Please enter the Hockey level of your child for this season
Please enter the name of your child's Hockey team
You must agree to the Contest Rules and Regulations
* All fields marked with an asterisk (*) are required.

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