Minor Hockey Association


To view this page properly, you need Java 1.1 enabled browsers such as Internet Explorer or Netscape Navigator version 4.x

Robert DiLorenzo # 17
Position: Forward
The fields marked with an * must be filled in. For children under 18, Please check with your parents before filling in the form. The privacy page explains how the information collected here is used. Go to the 'More Information' tab above, to advance to the privacy page.
Prefix
     
First Name
     
Last Name
         
Gender
     
Date of Birthday (dd/mm/yyyy) *
Preferred language
    
Address *
Address line 2 (if needed)
City *
Province/State *
      Postal Code/Zip (No Spaces in between) *
    
Country/Region *
E-Mail Address *
Confirm E-mail Address
Which Team do play for? Example: Atom A or Atom AA
Mother's Name *
Father's Name *
Home Phone *
Work Phone
Household Income
 		    
No. of people in household
Occupation

Would like to receive offerings, newsletters from our website? Check the box to apply.
  

What types of hockey information would you like to see the website? Check all that apply.
   Hockey about Vaughan
   Local Hockey Schools
   Sports Stores
   More Team information

VAUGHAN PANTHERS BANTAM "A"

Game Schedule

website design by McManus Creations