Bridge (Fall & Winter)

Participant's Name*
First Last
Parent's Name*
First Last
Date of Birth
Address
Street Address Address Line 2 City Province Postal Code
Home Phone
Cell Phone
Email*
By providing your email you are agreeing to let Canadian Ice Academy contact you with news and updates.
Select Your Program
Approval*
- I have received permission from the Director of Canskate
Product Name
Grade
Current Team
Level
Position
Program Apparel Sizing
Jersey
Socks
Hoodie
T-shirt
Shorts
Select Your Class
- Beginner Class
- Advanced Class
Choose Your Level
Goalie
- Yes
- No
Skate Canada #
Home Club:
Coaches Name:
Competition Level:
Test Level (if applicable)
Membership Option
Select your day & time*
- Friday 6:00pm
- Saturday 9:25am
- Sunday 12:00pm
Skate Canada annual fee ($55.00)*
- Annual Skate Canada fee
Policies Agreement
- By checking this box you agree to the terms on the policies page