Shoot To Score Registration

Please fill out the form completely to avoid missing out.

All participants must have their own equipment to participate.

Player Name *

First

Last

Date of Birth

Day and Month only

Player Age Group *5-8 years old9-13 years old14-17 years old

Treaty Number

Desired Position

• Forward
• Defense
• Goalie

Guardian Name *

First

Last

Guardian Email *

Gaurdian Phone *

Guardian Address *

Address Line 1

City

State / Province / Region

Postal Code

Submit