Registration

REGISTRATION

Breaking Barriers, Building Champions Elevate the Game, Embrace the Fierce

Breaking Barriers, Building Champions
Elevate the Game, Embrace the Fierce

(If registering more then one child please fill in multiple different forms, and add a comment to the special requests section.)

Select your camp(s) *

Dauphin, MB | Sunday, April 13th

Brandon | Saturday, May 24th (WAITLIST ONLY)

Russell | Sunday, September 14th

New Player to Fierce? *

New Player to Hockey? *

Players First Name *

Players Last Name *

Address

City *

Province *

Postal Code *

Players Date of Birth *

Gaurdians First Name *

Guardians Last Name *

Gaurdians Email

Phone Number

Second Gaurdians First Name

Second Gaurdians Last Name

Second Gaurdians Email

Phone Number

Health Concerns

Special Requests

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