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2024 Tec-Tac Application
Please fill out this form, click on the green DOWNLOAD AND PRINT COMPLETED FORM
green button below, then mail it
with full payment
to the address on the form.
Student First Name:
Male
Female
Student Last Name:
DOB:
Month
Jan
Feb
Mar
Apr
May
June
July
Aug
Sept
Oct
Nov
Dec
Date
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
Street Address:
City:
Province or State:
select
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
--------------------
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
District of Columbia
Deleware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Mosouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
N. Carolina
N. Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
S. Carolina
S. Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal/ZIP Code:
Country:
Canada
United States
Parents' Names:
Telephone:
-
-
Home
-
-
Work
Parent E-mail:
Confirm E-mail:
Student Health Number:
Student Jersey Size:
Small
Medium
Large
X-Large
Student Hockey Position:
Forward
Defense
Goalie
REGISTERING FOR:
U11 ATOM SKILL DEVELOPMENT
Ages 9-10
Aug. 19 to Aug. 23, 2024
REGISTRATION IS FULL FOR 2024
"To Raise The Athlete From Excellent Hockey To
Hockey Excellence
!"
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