[PLEASE SEND AN EMAIL TO paulbortignon@gmail.com and provide the following information: (COPY AND PASTE THE FOLLOWING INFORMATION INTO AN EMAIL ALONG WITH THE ANSWERS)

YOUR NAME

YOUR EMAIL

YOUR HOME ADDRESS

BEST CONTACT PHONE NUMBER

DATE OF BIRTH

Height

Weight

What position do you play?

Home Centre (where you played Minor Hockey)

Most Recent Team Played For

Will You Require Permission To Skate?
Please Enter Any Medical Conditions, Allergies etc

Any Additional Comments?