Concussion Video Registration (Kitchener Minor Hockey)

Concussion Video Registration

Please complete the following form. Once you submit the for follow the link provided to watch the required Concussion education videos.

Please enter your Given Name:^*

Please enter your Sur name

Address

Please select your/your players Date of Birth

Please select the level at which you are registered:

Please Enter Your Team Name

Include Jr, or Lady as well as the colour if you are a rep player. House League Please just enter the team name.