Dawson Creek Female "Try Hockey" Registration

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* 1. Participant Name

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* 2. Participant Birth Date

DOB

Date

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* 3. Parent/Guardian Information

Name *

Address *

Address 2

City/Town *

Province *

Postal Code *

Email Address *

Phone Number *

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* 4. Skating Experience


1 - Poor	1 - Poor	1 - Poor	1 - Poor	1 - Poor	1 - Poor
2 - Fair	2 - Fair	2 - Fair	2 - Fair	2 - Fair	2 - Fair
3 - Good	3 - Good	3 - Good	3 - Good	3 - Good	3 - Good
4 - Above Average	4 - Above Average	4 - Above Average	4 - Above Average	4 - Above Average	4 - Above Average

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* 5. Hockey Experience


1 - Poor	1 - Poor	1 - Poor	1 - Poor	1 - Poor	1 - Poor
2 - Fair	2 - Fair	2 - Fair	2 - Fair	2 - Fair	2 - Fair
3 - Good	3 - Good	3 - Good	3 - Good	3 - Good	3 - Good
4 - Above Average	4 - Above Average	4 - Above Average	4 - Above Average	4 - Above Average	4 - Above Average

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* 6. Equipment

	I Have This	I Need This
Helmet	Helmet I Have This	Helmet I Need This
Skates	Skates I Have This	Skates I Need This
Hockey Stick	Hockey Stick I Have This	Hockey Stick I Need This
Hockey Gloves	Hockey Gloves I Have This	Hockey Gloves I Need This
Elbow Pads	Elbow Pads I Have This	Elbow Pads I Need This
Shin Guards	Shin Guards I Have This	Shin Guards I Need This
Hockey Pants	Hockey Pants I Have This	Hockey Pants I Need This
Neck Guard	Neck Guard I Have This	Neck Guard I Need This