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REGISTRATION FORM: 2010Peterborough_Community_Church_Hockey_League.doc Clinic Information Clinic: NCCP Coach Refresher $ 60.00 Date: Aug 17th, 2010 Registration: 6:15 pm Start: 7:00 pm Location: Northminster United Church, 300 Sunset Blvd Note: Please bring expired 2010 cards with you. Clinic: HTCP Trainers Refresher $60.00 Date: Aug 24th, 2010 Registration: 6:15 pm Start: 7:00pm Location: Northminster United Church, 300 Sunset Blvd Note: Please bring expired 2010 cards with you. Clinic: HTCP Trainers $90.00 Date: October 30th, 2010 November 20th, 2010 Registration: 7:30am Start: 8:00am Finish: 4:00pm Location: Northminster United Church. 300 Sunset Blvd. Clinic: NCCP Coach Stream $125.00 Date: October 23rd, 2010 Registration: 7:30am Start: 8:00am Location: Northminster United Church. 300 Sunset Blvd. Note: Please bring completed pre-task with you. Available from OMHA website Please bring helmet, skates, stick and gloves Clinic: CHIP $85.00 Date: November 6th, 2010 Registration: 8:15am Start: 9:00am Location: Northminster United Church. 300 Sunset Blvd. Note: Please bring helmet, skates, stick and gloves Clinic: PRS (Speak Out) $30.00 Date: September 9th, October 21st, November 18th 2010 Registration: 6:30pm Start: 7:00pm Location: Northminster United Church, 300 Sunset Blvd Peterborough Community Church Hockey League 2010 Clinic Registration Form
Name: ______________________________
Address:______________________
Phone #:____________________________
Current Trainer/Coaches #___________________________ Note: Please bring expired card with you
Centre:______________________ Division:__________________ Category_______
Please Check boxes below as appropriate
NCCP Coach Stream Registration Fee: $ 125 Î
October 23 Î
NCCP Coach Refresher Registration Fee: $ 60 Î
August 17 Î
CHIP Registration Fee: $ 85 Î
November 6 Î
HTCP Trainers Registration Fee: $ 90 Î
October 30 Î November 20 Î
HTCP Trainers Refresher Registration Fee: $ 60 Î
August 24 Î
PRS Registration Fee: $ 30 Î
September 9 Î October 21 Î November 18 Î
Total Cost of Clinics Selected $__________
Return Registration form along with Cheque made payable to PCCHL to:
Lynda Gall 2474 Bensfort Rd Peterborough, ON K9J 1C5
REFUND POLICY: $25 Cancellation fee will be applied to all Registrations cancelled. COURSE CANCELLATIONS: Courses subject to minimum participants, we reserve to cancel a course 10 days prior to the stated course date, all fees paid will be refunded in case of cancellation. |
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