REGISTRATION FORM
2010Peterborough_Community_Church_Hockey_League.doc
Clinic Information
Clinic: NCCP Coach Refresher $ 60.00
Date: Aug 17th, 2010
Registration: 6:15 pm
Start: 7:00 pm
Location: Northminster United Church, 300 Sunset Blvd
Note: Please bring expired 2010 cards with you.
Clinic: HTCP Trainers Refresher $60.00
Date: Aug 24th, 2010
Registration: 6:15 pm
Start: 7:00pm
Location: Northminster United Church, 300 Sunset Blvd
Note: Please bring expired 2010 cards with you.
Clinic: HTCP Trainers $90.00
Date: October 30th, 2010 November 20th, 2010
Registration: 7:30am
Start: 8:00am Finish: 4:00pm
Location: Northminster United Church. 300 Sunset Blvd.
Clinic: NCCP Coach Stream $125.00
Date: October 23rd, 2010
Registration: 7:30am
Start: 8:00am
Location: Northminster United Church. 300 Sunset Blvd.
Note: Please bring completed pre-task with you. Available from OMHA website
Please bring helmet, skates, stick and gloves
Clinic: CHIP $85.00
Date: November 6th, 2010
Registration: 8:15am
Start: 9:00am
Location: Northminster United Church. 300 Sunset Blvd.
Note: Please bring helmet, skates, stick and gloves
Clinic: PRS (Speak Out) $30.00
Date: September 9th, October 21st, November 18th 2010
Registration: 6:30pm
Start: 7:00pm
Location: Northminster United Church, 300 Sunset Blvd
Peterborough Community Church Hockey League
2010 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 Coach Stream Registration Fee: $ 125 Î
October 23 Î
NCCP Coach Refresher Registration Fee: $ 60 Î
August 17 Î
CHIP Registration Fee: $ 85 Î
November 6 Î
HTCP Trainers Registration Fee: $ 90 Î
October 30 Î November 20 Î
HTCP Trainers Refresher Registration Fee: $ 60 Î
August 24 Î
PRS Registration Fee: $ 30 Î
September 9 Î October 21 Î November 18 Î
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.
