Goaltender Identification 2021-2022 Season (BLOMHA)

Print Goaltender Identification 2021-2022 Season

PLEASE FILL OUT THIS FORM ONLY IF YOUR CHILD IS PLAYING GOAL THIS SEASON AND IS ALREADY REGISTERED IN HOCKEY CANADA.

PARTICIPANT INFORMATION

Participant FIRST Name^*
Participant LAST Name^*
Participant Birth Year^*
Participant Street Address^*
City^*
Postal Code^*

PARENT INFORMATION

Parent First and Last Name^*
Parent Email^*

Example: [email protected]
Parent Telephone^*

Example: ###-###-####

DIVISION REGISTERED FOR

Choose your child's division^*
Minor Atom | Birth Year 2012
Atom | Birth Year 2011
Minor Peewee | Birth Year 2010
Peewee | Birth Year 2009
Minor Bantam | Birth Year 2008
Bantam | Birth Year 2007
Minor Midget | Birth Year 2006
High School | Birth Years 2003-2004-2005

Human Validation

Check The Box ^*

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Fri Sep 17, 2021

Printed from blomha.com on Friday, September 17, 2021 at 2:11 AM