Registration

To register for any of our programs, complete the online registration form below. Fields marked with an (*) are required. If you have any questions or comments about registration or payment, please feel free to contact us at This email address is being protected from spambots. You need JavaScript enabled to view it..

Player Contact Information

Player First Name(*)
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Player Last Name(*)
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Phone Number(*)
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Email Address(*)
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Cell Phone Number
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Street Address(*)
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City/Town(*)
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Postal Code(*)
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Player Health and Medical Information

Height (*)
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Weight
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lbs

Gender(*)

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Birth Date(*)
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Birth Date

Alberta Health Care Number(*)
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Pre-existing Medical Conditions
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Other Player Information

Position(*)
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Last Level Played(*)
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Team Name
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Emergency Contact Information

Primary Emergency Contact

Full Name(*)
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Phone Number(*)
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Secondary Emergency Contact

Full Name
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Phone Number
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Additional Comments
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Program and Payment Information

Program(*)
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Please pay the amount based on the selection above. *NEW* Now accepting credit card payments (small service fee). Please call Jeff Richards at 403-617-0369 to use this payment option.

*Full payment is due upon registration. Once payment is received, an email will be sent out confirming your registration. Any players that have balances owing will not be permitted on the ice. We appreciate your understanding!

We also accept the following payment methods:

  1. Mail a cheque payable to PUCKS Hockey Inc. to:

    PUCKS Hockey
    2238 2nd AVE NW
    Calgary, AB T2N 0G9

  2. Email payment via Interac e-Transfer to This email address is being protected from spambots. You need JavaScript enabled to view it.. If you choose this option, please email the answer to the security question to the same address.
. All players are required to wear their full gear for all sessions.

By submitting this registration form, you consent to our waiver.

What code is in the image?(*)
What code is in the image?
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