KWMLA Registration - Winter Back to Basics Box

Please fill out a Registration form for EACH child!

Cost is $60 per child per 6 week session at Queensmount Arena

KWMLA will be accepting payment of to confirm and hold you spot!

Spots are limited  per training group.

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Player First Name *
Player Last Name *
Players Birthday *
Email address *
Phone Number *
Player Age Group *
Is the player a goalie? *
I have completed the Covid-19 Wavier (This must be complete before registration is accepted) *
We agree to complete Covid-19 screening prior to each floor time? *
Etransfer Reference
Please e-transfer $60 payment to   Please include your child's name in the notes.  PLEASE NOTE YOUR REGISTRATION IS NOT COMPLETE UNTIL WE RECEIVE PAYMENT!  Spots are limited! *
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