2018-2019 Hockey Development (Kitchener Minor Hockey)

2018-2019 Hockey Development

To review the times and locations for the program, please return to the Hockey Development Home page and click on the Register Button.

When you have completed the form below by answering all questions,
click Submit Form and your registration information will be saved in our database.

Should you wish to pay at the KMHA office via debit, credit card (Visa/MC) or cheque (NO CASH PAYMENTS ACCEPTED) you may do so once you have registered online.

If you have any questions, or have any issues with this online form, please email the KMHA office at [email protected]

I agree to the terms and conditions stated above^*

Player First Name^*

Required

Enter the players first name

Player Last Name^*

Required

Enter the players last name

Player Birthdate^*

Required

Enter Player Birthdate - Click on Calendar to Select

Gender^*

MaleFemale

Required

Select players gender

Players Street Address^*

Required

Enter the players street address

Players City^*

Required

Enter the City where the player lives

Players Postal Code^*

Required

Sample: X0X 0X0

Players Province^*

Required

Enter 2 Letters Representing Province - i.e. ON

Players Home Phone Number^*

Required

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

Parents Cell Number

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

Parents Email Address^*

Required

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

Which FALL Development Program to Attend^*

Required

Choose Program to Attend

Which WINTER Development Program to Attend^*

Required

Choose Program to Attend

2018-2019 Hockey Development (Kitchener Minor Hockey)

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