First Contact Hockey Camp - Registration Form


Registration Form

 
 
For online registrations please complete the form below or click here for print version to mail your registration.

Registration
Full Name (F/M/L)
Birth date (MM/DD/YY)
Street
City
State/Province
Zip/Postal Code
Country
Email
Home phone
(area code) Number
Cell
(area code) Number
Father's name
Mother's name
Data
High School
07/08 Team
07/08 Coach
Height
Weight
Position
Shot - Right or Left
Grade point average 
Select the Camp you will be attending

1992-1993 Camp


1991 Camp


1988-1990 Camp


Method of Payment

Check

Cash / Money Order

Mastercard

Visa
Please select payment amount

Partial ($200)

Full ($545)
Card number
Name on card
Card Exp. Date

Please make all $545 U.S.D. checks and money orders payable to:
First Contact Hockey Camp

$200 U.S.D. (non-refundable) due with application.

First Contact Hockey Camp
1356 Michigan Avenue
Adrian, Michigan
U.S.A. 49221

 

 

 
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