Canadian Hockey Academy - New Registration

PRIVACY

CANCELLATION

HOME

Registration for New Users

All fields marked with a ( ) are required.

When you register on-line we will send you an e-mail confirming your registration. It will also contain a Waiver form. You must sign the waiver form and return it to the Academy Office along with your payment.

When you register you are subjecting yourself to our cancelation policy. Please read this policy which is located on the front page of our website.

We now accept VISA or MASTERCARD Payments. We have a convenience charge rate of $7.00 per credit card transaction.

The e-mail will contain your User ID and Password, so you can log on and check your registration, or register for more activities.

PLAYER INFORMATION

First Name	Initial	Last Name

Canada/USA

Other Countries

Address

City	Prov/State	Country	Postal/Zip

Date of Birth

Day	Month	Year
Ex. 21	9	2000

Height (ft)

Ex. 4' 8

Weight(lbs)

Health Card Number


Player Position


Level Played Last Year


Team Played for Last Year

PARENT/GUARDIAN INFORMATION

Primary Contact (Mandatory)

First Name	Last Name	Relation

Home Tel.	Cellphone	Work Tel.	Work Ext.

E-Mail

Secondary Contact (Optional)

First Name	Last Name	Relation

Home Tel.	Cellphone	Work Tel.	Work Ext.

Third Contact (Optional)

First Name	Last Name	Relation

Home Tel.	Cellphone	Work Tel.	Work Ext.

| | | | | |

DOWNLOADS

Download Spring Program Applications

2010 Programs & Announcements

Spring & Summer 2010 Programs
Still Accepting Applications for Ball Hockey in certain age groups.

Summer Cottage 4- Rent
http://despatiecottage.blogspot.com

TESTIMONIALS

I just want to say thanks for running such a great camp again this year and treating the children so well. Steven once again had a great time, its not even about the hockey but you seem to instill a confidence in him that is great for his self esteem. He sure was Tired last night. So Thank you for providing such a great service. See you next year or perhaps some clinics over the winter.

Marilyn