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Registration Form

Telephone, register in a matter of minutes at
(902) 443-3414

Fax: (902) 443-9230

Mail registration: Complete this form, print and mail with payment to:

Tom Duffey Hockey Schools
91 Rosedale Avenue
HALIFAX NS
B3N 2J4



IF YOU ARE PAYING BY CREDIT CARD (VISA/MASTER CARD ONLY) COMPLETE THIS SECTION BELOW:
Card #
Expiry Date
Signature of Card Holder

There will be a 3% service charge applied to credit card transactions.

Interac E-Transfer Accepted

FOR SPECIAL FEE DISCOUNTS, CLICK HERE

EARLY BIRD REGISTRATION DRAWS: We will have a series of Early Bird Draws for prizes including free registrations & hockey equipment supplied by CCM and Reebok. Our draws will be held October 1, November 1, and December 1. All registrations received and paid in full will be eligible for the draws.

Post dated cheques are accepted and can be dated up to 30 days prior to the start date of a school (a series of post dated cheques is acceptable.)

 
Parents' Name:
Player's Name:
Full Mailing Address:
Postal or Zip Code:
Email Address:
Phone:

PLAYER INFORMATION
Medicare Number:
Date of Birth: Year Month Day

Current
Team:
.AAA
.AA
.A
.B
.House

Check your
position:
.Forward
.Defence
.Goaltender

CHECK THE SCHOOLS FOR WHICH YOU ARE APPLYING:
Players are to register for the age group in which they will currently play.
Christmas Break
Hockey Schools




IP2
(6 year olds)




Puckhandling/
Shooting:
Novice Atom PeeWee/Bantam

Power
Skating:
Novice Atom PeeWee/Bantam




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