3-on-3 Pond Hockey Tourney

Player Registration

Please complete all of the fields below so we can ensure your (and your family's) experience is one that you will remember for a long time.

Name

First Name

Last Name

Email Address

Phone Number

(###)

###

####

Gender

Date of Birth

MM

DD

YYYY

Team Captain

Shirt Size

Please select shirt size below

Do you need to rent skates?

If yes, please indicate size.

Emergency Contact

Emergency Contact Phone Number

(###)

###

####

Please list any allergies

Please list any medical conditions

PARTICIPATING FAMILY MEMBER REGISTRATION

Please continue to Fill out Participating Family Member(s) details below. (If applicable)

Spouse's name

IF ATTENDING AND IF APPLICABLE

SPOUSE'S EMAIL ADDRESS

If applicable

CHILD (OR CHILDREN'S) NAME (S) AND AGE (S)‎

PLEASE NOTE: CHILD NAMES AND AGES ARE ONLY USED TO BETTER PREPARE FOR THEIR EXPERIENCE AT THE WINTER FESTIVAL AND WILL NOT BE USED BEYOND THIS INTERNAL PROCESS.

DOES ANY INDIVIDUAL NAMED ABOVE REQUIRE SKATE RENTALS?

IF SO, PLEASE INDICATE SIZE.

PLEASE LIST ANY ALLERGIES

PLEASE LIST ANY MEDICAL CONDITIONS

For more information or issues, please contact Ben Kalifer at bkalifer@harlocap.com

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3-on-3 Pond Hockey Tourney

Player Registration

PARTICIPATING FAMILY MEMBER REGISTRATION

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