2023 - 2024 Second Shift Rrgistration (Coronation Minor Hockey)
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2023 - 2024 Second Shift Rrgistration
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2023 - 2024 Second Shift Rrgistration
This is the registration form needed for participation in Second Shift.
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-Dec
Saturday 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: yo
[email protected]
. Your submission will be sent to this address.
How would you prefer to be contacted regarding the Second Shift program?
*
Phone
Email
Additional Parents Name
Additional Parents Address
Additional Parents Phone Number
Example: ###-###-####
Additional Parents Email Address
Example: yo
[email protected]
. Your submission will be sent to this address.
How would you prefer to be contacted regarding the Second Shift Program?
Email
Phone
Player's Gender
What does the player identify as
female
male
other
Payment
Please provide payment information
As of now the options for payment of the program is either cheque or cash (payment will be collected at the first Ice time attended)
Cheque
Cash
I am applying for the City of Hamilton Subsidy
Human Validation
Check The Box
*
Human Validation Failed, Please Try Again