Trainers Course Registration (Stratford Rotary Hockey League)

Trainers Course Registration

Please complete all fields and submit this form. All fields on the form are required and must be filled in.

Participant Information

First Name^*

Required

Last Name^*

Required

Date of Birth^*

Required

Please enter your date of birth

Phone Number^*

Required

Example: ###-###-####

Email Address^*

Required

Example: [email protected]. Your submission will be sent to this address.

Address^*

Required

enter your street address

Address 2

City^*

Required

Postal Code^*

Required

- I hereby acknowledge and understand that this course is being offered to me because I have a child that is, or will be registered to play with Rotary Hockey for the 2019-2020 season or I have been otherwise approved by a league convenor or the Board.
- I further acknowledge, that the cost to participate in this course (currently $85.00) will be only be reimbursed if I complete it in a timely manner.

I agree to the terms and conditions stated above^*

Trainers Course Registration (Stratford Rotary Hockey League)

Participant Information

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