2022-2023 Second Shift Fall Registration (Coronation Minor Hockey)

Print 2022-2023 Second Shift Fall Registration

This is the registration form that needs to be completed to participate in the Second Shift program.

This form has a limit of 60 submissions. At the moment this page loaded, 58 submissions have been submitted. It is possible that not all submissions have been validated at this time, and more openings could become available. However, at this time only 2 more submissions will be accepted.

Player Info

Please provide the player's name

Player's Name^*
Player's Date of Birth^*

YYYY/MM/DD
Shirt Size

Second Shift Program Times

Select the program time that you would like your child to attend.

Please select either the full Season option or one or both of the half season options.
Saturday 11 AM Oct-DecSaturday 11 AM Jan-Mar
Check All That Apply

Parent Info

Please provide parental contact info

Which language d you prefer to receive communication in?
Parents Name^*
Parent's address^*

including Postal Code
Parent Phone Number^*

Example: ###-###-####
Parent's email address^*

Example: [email protected] Your submission will be sent to this address.
How would you prefer to be contacted regarding the Second Shift program?^*
PhoneEmail
Additional Parents Name
Additional Parents Address
Additional Parents Phone Number

Example: ###-###-####
Additional Parents Email Address

Example: [email protected] Your submission will be sent to this address.
How would you prefer to be contacted regarding the Second Shift Program?
EmailPhone