POWER%20SKATING%20and%20PUCK%20HANDLING%20Winter%20Break%20Camps%20(1%20Day%20Camp%20and%20Workshop)PROGRAM%20SCHEDULE%20AT%20VARSITY%20TRAINING%20CENTRECAMP%20DATES:%20Dec%2023,%202019%20at%20Varsity%20Training%20Centre,%20Brampton%20Location$139 + HST Fill out the form to below to register for POWER%20SKATING%20and%20PUCK%20HANDLING%20Winter%20Break%20Camps%20(1%20Day%20Camp%20and%20Workshop).PriceLocationProgramProgram DescriptionProgram DatesPLAYER INFORMATIONPlayer Name*Gender* Female MaleDate Of Birth*Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Month123456789101112Day12345678910111213141516171819202122232425262728293031Team Name / Organization*Current Level* Beginner House League / Recreational Intercity / Select A AA AAAPARENT / GUARDIAN INFORMATIONParent / Guardian's Name*Parent / Guardian's Email* Home Contact Phone Number*Mobile Contact Phone NumberCREDIT CARD INFORMATION If you’re booking a program that is eligible for a 10% discount, the remaining amount will be billed the week prior to the camp dateTSO Code(Only Required When Assigned)THAT IS THE CORRECT CODE! YOUR $100 DISCOUNT WILL BE APPLIED ON CHECKOUT THAT IS NOT THE CORRECT CODE! Credit Card Number*Expiry Date*CVC Code*BILLING ADDRESSAddress* Street Address City State / Province / Region ZIP / Postal Code Have You Registered With Team Shutout Before?Choose An OptionYesNoHow Did You Hear About Us?Join Our Mailing List YesEmailThis field is for validation purposes and should be left unchanged.
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