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Home > 2024 Individual Registration - Pro 4on4

* Indicates Required Field

Player Information

Are you a returning Player?

Yes No

First Name *

Last Name *

Birthdate *

Access Code

(Only returning players need to enter the Access Code.)

Email Address *

Gender *

Male Female

Address *

City / Hometown *

Province *

Postal Code *

Phone Number *

Team code

Team Name:

If you are registering for an already registered team using the team code provided by team contact. Enter the team name here ?

Goalie or Player ? *

Goalie
Player

This section applies to the Pro 4on4 league. We need this information, to be used for Emergency contact information only !!

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Email Address *

Parent/Guardian Phone Number *