Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Email Address *
Parent/Guardian Phone Number *
Parent/Guardian Secondary Phone Number
Parent/Guardian Address *
Parent/Guardian City *
Parent/Guardian Province / State *
Parent/Guardian Postal / Zip Code *
Allergies or Medical Problems *
If yes, please elaborate
Payment Method *
Parent(s), Guardian(s) willing to help with:
Will Your Son/Daughter be Attending Pre-Season Conditioning Ice Time? *
Association Played 2024-2025 Season (If Not Charlottetown or Sherwood)