Coyote Cup 3 Youth Individual Registration

Coyote Cup 3 Youth Individual Registration

Fields marked with an * are required.

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Player Info

Player Experience

Parent/Guardian Info

Additional Info

Payment & Waiver

By 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.

Please select the correct division based on birth year.

Payment

Apply
CAD