Roller Hockey Exposure Camp - Winfield
Registration Form for the Learn to Play Roller Hockey Session in Winfield at the Arena on April 20
*1 to 2 hours of surface time with trained instructors
*Participant must bring full hockey equipment
*Alberta Minor Roller Hockey will be lending skates for the participants
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Email *
Parent or Guardian - First and Last Name *
Participant - First and Last Name *
Birth Date (Year / Month/ Day) *
Address (Address, City or Town, Postal Code) *
Contact Phone Number (Mobile) *
Last Level of Ice Hockey Played *
Do you require Inline Skates or Roller Blades? *
Inline Skates / Roller Blades size for the Participant *
What Color of Practice Jersey are you bringing? *
Will you be bringing your own hockey equipment? *
If you were to register for the full Roller Hockey program, which day of the week would work best? *
Required
What Other Sports are you currently registered in? *
Required
A copy of your responses will be emailed to the address you provided.
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