PARKSVILLE PANTERS SENIOR HOCKEY

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Panters.....

 

Team Registration - When filling out this form please stay on this page until it has been completed.

Team Entry Fees: $1200. Deposit full amount or $600 with the balance of $600 submitted by 1 May 2012. Make cheques payable to "Panter Hockey" and mail to Gordon Ball, 547 Nootka Road, Qualicum Beach, BC V9K 1A3.

Team Name*
Select*
Age & Division*
Home Colors
Away Colors
Manager*
Address
City*
Prov/State
Postal Code
Phone 1*
Phone 2
Fax
Email*

Click HereTo fill out a mail-in form for the 2012 Classic

 

 

 

 

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