Eden Prairie Hockey Association     Information Questionnaire
Interested in learning more about joining the Eden Prairie Hockey Association? Provide your contact information, and we will be in touch with you about our upcoming events and activities!
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What is your Skaters Name? *
What is your Skaters Gender? *
What is your Skaters Date of Birth? *
MM
/
DD
/
YYYY
What programs is your skater interested in? *
Required
Would you be interested in an equipment rental program for your skater? *
Parents Name *
Parents Email *
Parents Phone *
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