2023 - 2024 Second Shift Rrgistration (Coronation Minor Hockey)

This is the registration form needed for participation in Second Shift.

This form has a limit of 100 submissions. At the moment this page loaded, 100 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 no more submissions are permitted.

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

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

2023 - 2024 Second Shift Rrgistration (Coronation Minor Hockey)

ALLIANCE HOCKEY Digital Network

Player Info

Second Shift Program Times

Parent Info

Player's Gender

Payment

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