Canucks 3 on 3 ( Registration Fall Session Deadline July 25th)

To register on-line email : Treva Tilston-Jones  canucks3on3@yahoo.ca

We offer special discounts to individuals who volunteer as coaches or referees in or program please call (email) Treva for more information 995-5207.

Please include the following information:

• Individual Registration  $80.00 Player  
• Goalie Registration  $25.00 
• Mini Team Registration (grp 3) $225.00
• Team Registration (must include 2 coaches, ref and timekeeper)  $600.00. For team registration form please contact Treva 995-5207

 

• Division Entry (Circle One)

SUPER 6'S (02-03)  SUPER 7'S (01)   SUPER 8'S(00) 

SUPER 9'S(99)  SUPER 10'S(98)

• Players Name:
• Birthdate:
• Current Team
• Current Level:  Skills  House   A1  A2   A3
• Player or Goalie
• Parent/Guardian Contact Information Phone Number:
• Volunteer  Yes or No

 

Send registration payment to : Canucks 3 on 3  c/o T. Jones  88 Martin Ave West, Winnipeg, MB. R2L 0B4. Make cheques payable to Canucks3on3.

• You will be sent a confirmation number on-line
• Waivers, uniforms and receipts can be picked up at first scheduled game from designated coaches.