Peterborough Community Church Hockey League
2008 Clinic Registration Form
Name: ________________________________Email_____________________________
Address:________________________________________________________________
Phone #:______________________________DOB (MM/DD/YY)__________________
Current Trainer/Coaches #___________________________ Note: Please bring expired card with you
Centre:______________________ Division:__________________ Category_______
(i.e. Novice, Atom) (i.e. ‘A’,’AA’,’HL’)
Please Check boxes below as appropriate
NCCP Development Coach 1 Registration Fee: $ 130 О
NCCP Coach Stream Registration Fee: $ 100 О
NCCP Coach Refresher Registration Fee: $ 55 О
CHIP Registration Fee: $ 75 О
HTCP Trainers Registration Fee: $ 85 О
September 13 О November 15 О
HTCP Trainers Refresher Registration Fee: $ 55 О
PRS Registration Fee: $ 30 О
August 26 О September 18 О October 16 О November 20 О
Total Cost of Clinics Selected $__________
Return Registration form along with Cheque made payable to PCCHL to:
Lynda Gall
2474 Bensfort Rd
Peterborough, ON
K9J 1C5
REFUND POLICY: $25 Cancellation fee will be applied to all Registrations cancelled.
COURSE CANCELLATIONS: Courses subject to minimum participants, we reserve to cancel a course 10 days prior to the stated course date, all fees paid will be refunded in case of cancellation.
