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2022/2023 Registration

Player Name

Parent/Guardian Name

Birthdate

Phone (Cell Preferred)

Email

Emergency Contact

Phone (Cell Preferred)

Preferred Ice-time

10am-11am

11am - 12pm

No preference

Special Requests

Photo Waiver: I hereby grant the Little Heroes Hockey Academy permission to use my child's photograph, video or other digital media in any and all of its publications, including web-based publications.

Thanks for registering for the upcoming season! We will be in contact with you soon!

In Proud Partnership With:

74888325_114316969989540_884485300423544

minor hockey.jpg

Ben Champagne | 604-799-7970

ben_sportszone@hotmail.com

Chilliwack, BC