Registration FRANCIS WATHIER HOCKEY ACADEMY SUMMER 2011
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indicates required fields
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PRENOM/FIRST NAME:
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NOM/LAST NAME:
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ADRESSE:
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VILLE / TOWN:
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CODE POSTAL / POSTAL CODE:
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ADRESSE COURRIEL/ EMAIL:
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NUMERO DE TELEPHONE / PHONE NUMBER:
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AGE / DATE DE NAISSANCE /D.O.B:
POSITION:
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NIVEAU JOUEUR/LEVEL PLAYING GOING INTO NEXT SEASON:
CHOISIR/CHOOSE
NOVICE
ATOME
PEE-WEE
BANTAM
MIDGET MINOR
MIDGET MAJOR
JUNIOR B',C'
JUNIOR A'
OHL/LJMHQ/COLLEGE
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GRANDEUR T-SHIRT SIZE:
YSMALL
YMEDIUM
YLARGE
SMALL
MEDIUM
LARGE
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NOM DU PARENT OU TUTEUR/ PARENT NAME:
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PACKAGE:
CHOISIR/CHOOSE
NOVICE/ATOME/PEEWEE/BANTAM
DRYLAND-229$ (Incl.taxes)
0
0
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MIDGET/JUNIOR
''NHLers IN TRAINING''- DRYLAND+ON ICE TRAINING- 485$(incl.taxes)
ON-ICE TRAINING- 165$(incl.taxes)
DRYLAND- 330$(incl.taxes)
*APPUYER SUR LE BOUTON ''SUBMIT'' FRANCIS WATHIER HOCKEY ACADEMY C.P 467 CASSELMAN, ONTARIO K0A 1MO
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