2024-25 HL Select Registration (Whitby Minor Hockey)

2024-25 HL Select Registration

Players First Name:^*

Required

Players Last Name:^*

Required

YEAR of Birth: ^*

Required

2012

Parent/Guardian First Name:^*

Required

Parent/Guardian Last Name:^*

Required

Email Address^*

Required

Primary Phone Number^*

Required

Example: ###-###-####

Secondary Phone Number^*

Required

Example: ###-###-####

Did the child play in WMHA last season?^*

YesNo

Required

Did the child play Select or Rep last year?^*

Yes - Select
Yes - Rep
No

Required