Youth Hockey Program Payment - Township of Macdonald, Meredith & Aberdeen Additional

Hockey Program Payment Form

Child's Name(Required)

Second Childs name (if applicable)

Third Child's name (if applicable)

Fourth Child's name (if applicable)

Parent/Guardian Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City Province Postal Code

Registration for Youth Hockey Program (Required)

Price: $ 50.00 CAD

NOTE: Enter the number of children participating and the total will be populated (DO NOT enter the dollar amount)

Total

Payment Method(Required)