Rocky Mountain Hockey School Registration Form

Fill out form and submit by July 1, 2011. $100.00 non-refundable deposit must be received to secure your spot, payment can be sent to: RMHS, Box 1193, Fernie BC, V0B 1M0

Name First Last
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone - (###) - ### ####
Email
Birthdate / MM / DD YYYY
Session Type
Sex Male Female
Jersey Size Youth L Youth XL Mens Small Mens Medium Mens Large Mens XL Mens XXL
Position:
Last Team:
Parent/Guardian Names
Emergency number to be used during camp - (###) - ### ####
Medical #

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