REGISTRATION AND PAYMENT
Please fill out form and click on the submit button when finished.

Also, print a copy of this page and submit with your payment.
Name:
Address:
City and Zip:
Cell Phone:
Email:
DOB:
Team:
Position
Program
Choice
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select multiple
programs.
 
Adult Hockey Academy (Summer 2012)
OR

Send check (payable to SportSciTek) and completed form to:

Bruce Turpin
9010 Bennett Avenue
Evanston, IL 60203
TECH-TACH PLUS:
Session 1
Session 2

POWER HOUR PLUS:
Session 1
Session 2