SWIFT CURRENT AGE:____

OUTDOOR HOCKEY LEAGUE PD:_____

2020 REGISTRATION FORM

Name: ________________________________________

Address: ________________________________________

Birthdate: ________________________________________

Phone: ________________________________________

E-mail Address: ___________________________________

Health Card Number: ______________________________

Parent/Guardian Name: ______________________________

Equipment (Please Circle Items You Do Not Have)

Skates Helmet Stick Gloves

Cost: $30.00 per player (Helps Cover the cost of Insurance and Ice Rental)

Cheques payable to: S C Outdoor Hockey League (or SCOHL)

Etransfer to: s.walde@shaw.ca answer for security: SCOHL

Mail to:
Sharon & Jon Walde
246 Battleford Trail
Swift Current, Sask.
S9H 4J5
s.walde@shaw.ca
swalde65@icloud.com