Clinic Registration Form (Waterloo Minor Hockey)

Clinic Registration Form

Name^*

Required

Address^*

Required

E-mail Address^*

Required

Phone Number^*

Required

Example: ###-###-####

Minor Hockey Association

Division^*

Required

Novice, Atom, etc

Do you have existing certification?

Coaching/Training #

Which Clinic Would You Like to Attend? ^*

Coach 2 (Oct 14)

Check All That Apply