Young Panthers Registration (Pickering Minor Hockey Association)

Print Young Panthers Registration
Please complete the registration form below. Registration is only considered complete when full payment has been made to the Pickering Hockey Association. Payment can be made via e-transfer and sent to [email protected] (please make sure your players name and 'young panthers' is listed in the message area) or visit the PHA office for visa or cheque payments.
This form has a limit of 23 submissions. At the moment this page loaded, 23 submissions have been submitted. It is possible that not all submissions have been validated at this time, and more openings could become available. However, at this time no more submissions are permitted.
PLAYER INFORMATION
  1. DD/MM/YYYY
  2. Including City and Postal Code - ex. Pickering, XXX XXX
PARENT/GUARDIAN INFORMATION
  1. First and Last
  2. Example: ###-###-####
  3. First and Last
  4. Example: ###-###-####
  1. The PHA Young Panthers Development (U8) Team falls under PHA programming and all participants are subject to the PHA Code of Conduct. Participants who are unwilling to follow the PHA Code of Conduct will be removed from any or all development sessions. There is a no refund policy in effect for the Young Panthers Program - no exceptions. 
Human Validation
This form has a limit of 23 submissions. At the moment this page loaded, 23 submissions have been submitted. It is possible that not all submissions have been validated at this time, and more openings could become available. However, at this time no more submissions are permitted.