Summer Camp Test 2022

SSAC Summer Camp 2022
First Name - Title Case, e.g. Connor
Last Name - Title Case, e.g. McDavid
000-000-0000
Contact Email Address
mm/dd/yyyy
*** Select birth year then month-day ***
Address
e.g. 11100 - 123 Street NW
City
Province
Postal Code e.g. T6T 1E1
Complete Street Address, City, Province, Postal Code
U13 PEEWEE PROGRAMS

Please enrol me
for this package

1, 2, 3 Week
Packages
Fee as per selected rate checkbox above
Fee as per selected rate checkbox above
U18 MIDGET
PROGRAMS

Please enrol me
for this package

1, 2, 3 Week
Packages
Fee as per selected rate checkbox above
Fee as per selected rate checkbox above
First Name - Capital first letter Title Case, e.g. John
Last Name - Capital first letter Title Case, e.g. McDonald
Card Number | Expiry Date | CVC | MasterCard – Visa – AMEX
First Last
000-000-0000
12345-6789
First Last
000-000-0000
State any Medical Conditions
For additional requests or questions. Or contact us before submitting form: info@ssac.hockey
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