REGISTRATION - Peterborough Stars 3 on 3 Hockey

Peterborough Stars 3 on 3 Hockey is owned and operated by GB Enterprises

Player's Registration Form

To register online, please complete the form below. Once your registration has been confirmed, download the waiver form and complete it. Mail the waiver form and payment (cheques made payable to GB Enterprises) to the address found at the bottom of this page. We look forward to another exciting season of 3 on 3 hockey!

Registration Dates

Wednesday March 24, 2010 from 6 - 8pm at Evinrude Centre
Saturday March 27, 2010 from 9am - Noon at Evinrude Centre

Registration Costs

Cost is $275.00 for players and $150.00 for goalies.

For further information please contact: Gary Baldwin (705) 743-7056.

Player's Information

Player's First Name: (required)
Player's Last Name: (required)
Date of Birth: (required)
Division: (required)

Novice (2001,2002,2003)

Atom (1999,2000)

PeeWee (1997,1998)

Bantam/Midget (1994,1995,1996)

Position: (required)

Goalie

Defense

Forward

Level of Play (2009-10): (required)

House League

Rep

AAA

Medical Concerns (optional):

Contact Information

Mailing Address: (required)

City: (required)
Province/Territory: (required)
Postal Code: (required)
Phone Number: (required)* 10 Digits: Area Code + Number
Email: (required)

Parent's Information

Parent's Name: (required)
Parent's Name:
Please Select if You are Interested in Being a: (optional)

Coach

Assistant Coach

Trainer

Please Select the Certifications You Hold: (optional)

PRS

CHIP

NCCP Coach

NCCP Dev. 1

NCCP Dev. 2

Additional Information

Requests for Team Mates or Coach (optional):

Download Waiver Form - PDF Format

Registration Fee made Payable to: GB Enterprises

Mail to:: Peterborough Stars 3 on 3 Hockey; c/o GB Enterprises; 576 Humber Road; Peterborough, ON; K9J 1H2

Phone: (705) 743-7056

Fax: (705) 743-0687

Email: info@peterboroughstars.com

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