2018 Registration Form
The third annual Pass the Puck 4 ALZ being held on May 5, 2018 at Ice Sports Oakville located at 2300 Cornwall Dr raising funds for the Alzheimer's society Halton for local programs supporting Alzheimer's patients and their families.

Entry Fee: EARLY BIRD $700/team including taxes before April 1, 2018. $800/team including taxes after April 2, 2018. $60 for individual registration

Top fundraising team receives VIP package: prizes for 2nd and 3rd highest fundraising teams.

3 Game-Guarantee

Men's and Women's Divisions

Players must be 19+

Level: Recreational

Time: 9:00 a.m. - 9:00 p.m.

Silent Auction, raffles, 50 - 50 draw, between game activities.

Team Name
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Team Rep Name *
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Team Rep Email Address *
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Team Rep Phone Number *
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Number of Players
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Please Select your Division
Early bird pricing ends April 1st
Any Additional Information?
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