Huron Hockey

Application

Use this handy secure form to register on-line for one or more of Huron Hockey Programs. A list of all programs along with locations can be found on the Location page.

Please fill out all applicable fields. (* = required)

Student:*
Birth Date:* (MM/DD/YY)
Parent: or Guardian
Address:*
City:*
Prov/State:*     Postal/Zip:*
Country:*
Phone 1:
Phone 2:
Email:*
Position:     League:
Weight:     Height:
Gender:
Jersey Size: Youth:     Mens:
How did you hear about Huron Hockey School?
(Please select one item and specify)
Specify:
Program Information
Location Week Program
Day or Resident
 Fee
Additional:
Total Amount:
 
Note: Your application is not confirmed until payment has been received.
Method of Payment:
Make Cheques payable to Huron Hockey School.
Credit Card Users Only:
Card Holder Name:
Card Number:
Expiry Date:

Note: Your application is not confirmed until payment has been received.


www.HuronHockey.com