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PEE WEE (12U)/BANTAM (13U/14U) / MIDGET (15U/16U/18U) CLINICS REGISTRATION
Player Profile
First Name
*
Last Name
*
Gender
*
M
F
N/A
Team/Organization?
*
Age Group?
*
13U
14U
15U
16U
18U
Level
*
AAA
AA
A
B
House
JR
Position
*
W/C
D
G
Contact Information
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Email Address
*
Pee Wee/Bantam/Midget Session Date Selection(s)
Session Dates
*
May 23
(7 remaining)
May 30
(6 remaining)
June 6
(0 remaining)
June 13
(0 remaining)
June 20
(7 remaining)
June 27
(4 remaining)
July 11
(5 remaining)
July 18
(4 remaining)
July 25
(10 remaining)
August 1
(8 remaining)
August 8
(3 remaining)
Session Dates (Goalies)
*
May 23
(0 remaining)
May 30
(0 remaining)
June 6
(0 remaining)
June 13
(0 remaining)
June 20
(0 remaining)
June 27
(0 remaining)
July 11
(0 remaining)
July 18
(0 remaining)
July 25
(0 remaining)
August 1
(0 remaining)
August 8
(0 remaining)
PLEASE NOTE:
On the following screen when selecting payment option, if you select "pay later" your registration will only be held for 24 hours. If payment has not been recieved within 24 hours of registration, your reservation will be removed.
Current Total:
$0.00
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