KWRHL Individual Registration Form 17-18

INDIVIDUAL PLAYER REGISTRATION
2017-2018 Season
Player $375 Goalie $175 Spare $25
Payment due August 15, 2017
Minumum age is 18 for the 2017-2018 season
Date:
First Name:
Last Name:
Street/Apt#:
City:
Postal Code:
Email:
Home Phone:
Cell Phone:
Birthdate (Month/Day/Year)
Player
Goalie
Amount Enclosed
Cash
Cheque Email Transfer*
* if sending an email money transfer
please mention your team name
in the comments.
Please check which best suits your hockey background
Never played hockey before
ff at
South Shore
Pink with Envy
803 Seymour St V2C 2H6
North Shore
618C Tranquille Rd V2B 3H6
Make cheques payable to KWRHL (cash, cheque or email money transfer)
Email money transfer to: fees @kamloopswomenshockey.ca
Payment amount
Late payment amount
Cash
Cheque
Email Transfer
Cash
Cheque
Email Transfer
www.kamloopswomenshockey.ca