Duffey Hockey School logo
Tom Duffey Hockey Schools
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
Last 3 digits on back of card

Interac e-Transfers accepted.

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.)

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 The Hockey Company and Easton. Our first series of draws will be held on October 12 and then on November 12 and December 5. All registrations received and paid in full will be eligible for the draws.

 
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


Puckhandling/Shooting: Novice Atom PeeWee/Bantam

Power Skating: Novice Atom PeeWee/Bantam

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