Pink in the Rink
Please limit your registration to immediate family only.
* Required
Email address
*
Your email
Name of Parent/Guardian
*
Your answer
Phone Number:
*
Your answer
Address:
*
Your answer
Name of Child Affected by Cancer:
*
Your answer
Would they be interested in dropping the puck to start the game?
*
Yes
No
How many tickets do you need?
*
Tickets are required for age 3 and above.
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A copy of your responses will be emailed to the address you provided.
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