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Hockey School
Summer 2017 Schedule
AAA-Elite Prospects 2005
About Us
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ADMINISTRATION
Name
*
Surname
*
Address (#, street)
*
City
*
Postal code
*
Phone (home)
*
Phone (mobile)
Birth date
*
Gender
*
Male
Female
PLAYER'S INFORMATION
Minor Hockey Association
*
AHM Aylmer
AHM Hull
AHM Collines de l'Outaouais
AHM Gatineau
AHM de la Lièvre Gatineau
AHM Fort Coulonge
AHM Maniwaki
AHM Petite Nation
AHM Petite Nation
AHM Shawville
Hockey Outaouais
Class (Season 2016-2017)
*
AA
BB
CC
A
AAA
Division (Season 2016-2017)
*
PeeWee
Cadet
Bantam
Atome
Team's name (Season 2016-2017)
Division (Season 2017-2018)
*
PeeWee
Bantam
Position (Season 2017-2018)
*
Center
Wing
Defense
Goalie
Shot
*
Left
Right
Weight (kg)
*
Height (cm)
*
PARENTS' INFORMATION - MOTHER
Name
*
Surname
*
Phone (Home)
*
Phone (Mobile)
Email
*
PARENTS' INFORMATION - FATHER
Name
*
Surname
*
Phone (Home)
*
Phone (Mobile)
Email
*
MEDICAL INORMATION
Epileptic
*
Yes
No
Previous concussions
*
Yes
No
Asthma
*
Yes
No
Diabetic
*
Yes
No
Take medicine
*
Yes
No
Allergies
*
Yes
No
Respiratory problem during exercise
*
Yes
No
Recent injuries
VERIFICATION
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DEPOSIT — 60$
