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PRE-SEASON TUNE-UP  2021-2019 - Advanced Hockey
Please fill out and submit form.  We will follow up prior to the first ice-time with participant information. If you have any questions or need assistance feel free to call (519) 257-7181.

Birthyears 2021 - 2019
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Email *
Player's Birth year
Players Name  *
Parent/Guardian Name *
Primary Contact Phone # *
My Minor Hockey Association is:
Which player group is the best fit for your child? Our on-ice groupings allow players to train alongside others at the same stage of development.
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Is the player participating as a Goalie?
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Dates
Choose the dates you will be attending. 

Medical & Health Information
Does the participant experience any of the following conditions that are a concern while playing sports... fainting, seizures, epilepsy, asthma, trouble breathing, heart condition, diabetes or concussions?

Multimedia Waiver
Advanced Hockey may take photographs or video recordings during ON-ICE activities for use in program marketing and promotional or educational purposes (including social media platforms).

I understand and agree that: My child may be photographed or recorded ON-ICE during this program. The content may be used by Advanced Hockey to promote future Skills Programs. 

*Answering “No” will not affect the player’s participation; we will simply exclude them from photos and videos.

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Payment Details

Registration is $40 per ice time.  

Etransfer payment to:  payadvancedhockey@gmail.com

A copy of your responses will be emailed to the address you provided.
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