Winter 2025 floor hockey registration

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This form is to register your son/s to Zvi's floor hockey program Tuesday evenings (Jan 14-Mar 4) at Chabad of Penn Wynne (7571 Haverford).

Your son's name(s, separated by commas) *

Your son's grade(s, separated by commas) *

Father's cell number *

Mother's cell number *

Email address *

Please check to confirm that you allow your son/s to participate in Zvi's winter 2025 hockey program. *

I confirm that I allow my son/s to participate in Zvi's winter 2025 floor hockey program.

Required

Payment options ($95 per child. Two sons or more? Take $5 off each additional son)
*

Cash

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