Coyote Cup 3 Youth Individual RegistrationFields marked with an * are required.error_outline Some fields contain errors Show {{form.showErrors ? 'Less' : 'More'}}keyboard_arrow_down {{error.field}} - {{error.message}} Player InfoPlayer NameFirst NameLast NamePlayers Date of BirthIf any allergies or health problems please describe belowPlayer ExperienceYears of Experience5+4321New PlayerRoller Skill LevelBronze (Begginer)Silver (Intermediate)Gold (Advanced)Platinum (Expert)Current Roller LeagueLevel of Ice HockeyPlayer PositionGoalie (Please Contact)ForwardDefenceParent/Guardian InfoAre you interested in volunteering?yesnoHome CityPostal CodeEmailSecondary EmailHome PhoneCell PhoneEmergency PhoneAdditional InfoAdditional InfoPayment & WaiverClick here to read the waiver (it opens in a new window; make sure popup blockers are disabled)I Accept the Waiver I have fully read and fully understood the Canadian Roller Hockey Group waiver formSignatureFull NameSignarrow_drop_downGenerate from nameclearLoad signature fontBy writing my name into the signature box, I understand that my child will participate in roller hockey at Mississauga Roller Hockey; I know all the risks attached to the sport where my child will participate.DivisionSelectYouth Divisions - $124.99QuantityPlease select the correct division based on birth year.PaymentCouponApplyDiscountSubtotalTaxTotal CADSubmitThank you, your submission is complete.
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NewsHalton Youth Championship Weekend!30+ PhotosYOUTH COYOTE CUP 3 PHOTOSPlatinum and Gold Pictures (Tuesday)14u Halton Pictures (Sunday)HALTON – WEEK AT A GLANCE (MAY 12–18)Kitchener Week at a Glance (May 12-18)Team Ontario Tryouts This Saturday!Email Blast Sign-UpSchedules