2024 - 2025 Second Shift Registration (Coronation Minor Hockey)

This form has a limit of 100 submissions. At the moment this page loaded, 73 submissions have been submitted.

Player Info

Please provide the player's name

Player's Name^*

Required

Player's Date of Birth^*

Required

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 12 PM Oct - Dec
Saturday 1 PM Oct - Dec
Saturday 12 PM Jan - Mar
Saturday 1 PM Jan - Mar

Check All That Apply

Parent Info

Please provide parental contact info

Which language d you prefer to receive communication in?

Parents Name^*

Required

Parent's address^*

Required

including Postal Code

Parent Phone Number^*

Required

Example: ###-###-####

Parent's email address^*

Required

Example: [email protected]. Your submission will be sent to this address.

How would you prefer to be contacted regarding the Second Shift program?^*

PhoneEmail

Required

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

This form has a limit of 100 submissions. At the moment this page loaded, 73 submissions have been submitted.

2024 - 2025 Second Shift Registration (Coronation Minor Hockey)

ALLIANCE HOCKEY Digital Network

Player Info

Second Shift Program Times

Parent Info

Player's Gender

Payment

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