registration is closed for 2021

First Name *

Last Name *

Email Address *

Phone Number *

Date of Birth *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country

Hockey Position *

Level Played Last Year *

Parent/Guardian Name *

Health Card No *

Pre existing health conditions?

Allergies?

Meal Plan (100$) *

Base Price

Have a discount coupon?

Valid Coupon

Invalid Coupon

Base Price

Final Amount (Meal plan and GST)

CAD

Pay with Credit Via Stripe *

Cheque/CashE Transfer to matt.s@shifthockey.caMonthly Payment Plan

Privacy/Terms and Conditions *

Please do not fill in this field.