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PRE-REGISTRATION IS REQUIRED 2Peterborough_Community_Church_Hockey_League.doc Peterborough 2009 Clinic Registration Form Name: ________________________________Email_____________________________ Address:________________________________________________________________ Phone #:______________________________DOB (MM/DD/YY)__________________ Current Trainer/Coaches #___________________________ Note: Please bring expired card with you Centre:______________________ Division:__________________ Category_______ (i.e. Novice, Atom) (i.e. ‘A’,’AA’,’HL’) Please Check boxes below as appropriate NCCP Development Coach 1 Registration Fee: $ 140 Î August 21/22 Î NCCP Coach Stream Registration Fee: $ 110 Î November 8 Î NCCP Coach Refresher Registration Fee: $ 55 Î Completed Î CHIP Registration Fee: $ 75 Î November 1 Î HTCP Trainers Registration Fee: $ 85 Î Novmeber 7 Î HTCP Trainers Refresher Registration Fee: $ 55 Î Completed Î PRS Registration Fee: $ 30 Î September 10 Î October 22 Î November 19 Î Total Cost of Clinics Selected $__________ Return Registration form along with Cheque made payable to PCCHL to: Lynda Gall 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.
Clinic Information
Clinic: PRS (Speak Out) $30.00 Date: November 19th 2009 Registration: 6:30pm Start: 7:00pm Location: Northminster United Church, 300 Sunset Blvd.
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