Camp Signup | Achieve Hockey

Tell us about yourself first!

Player first name* Player last name*

Nickname Birthdate*

Address* Country of Birth*

Current Ice Hockey team* Current Grade*

Ice Hockey Position*

Forward Defensemen Goalie

Current School*

Parent/guardian #1

Name* Email*

Cell Relationship with player*

Parent/guardian #2

Name Email

Cell Relationship with player

Please complete payment using wire transfer with the details below:

Scotiabank

B6-2737 Laurier Street, Rockland, ON Canada K4K1A3

Account Holder: Kim You-Seok

Account #: 41186 04399 83

Branch code: 002

Swift code: NOSCCATT

Routing number: 0002 41186

Transit number: 41186

Email Address: thomas121china@gmail.com

An invoice will be sent to your email upon Submission of Payment Proof

Payment proof* (PDF/JPG/PNG)

Transfer date* Transfer reference / notes

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