Clinic Drop-In Registration

Your Name (required)

Player Name (required)

Player Birth Year (required)

Your Email (required)

Telephone Number (required)

Municipality:
Note: due to league boundary rules we are only able to accept players who reside in West Vancouver, Bowen Island or Lions Bay. West VancouverBowen IslandLions Bay

Street Address (required)

Hockey Experience: nonesomelots

Skating Experience: nonesomelots

Wants to be a goalie (experience required)? goal onlyany position

Has this player ever played for a minor hockey association? yesno

Message (optional):