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2026 Empower Hockey Spring Registration

Parent Email

Join Our Mailing List!

Subscribe to our mailing list for updates about our future programs!

Parent First Name

Parent Last Name

Athlete First Name

Athlete Last Name

Athlete Date of Birth

Are you new to Empower Hockey?

New

Returning

Select Your Program:

Program Details:

Location: North Surrey Sport & Ice Complex Schedule: Tuesdays, starting April 14 and running until May 26

7 Sessions Available = 8.75 hours of ice!

Do you need an Empower jersey?

Yes - $30+GST

No, I already have one!

Do you want to purchase an Empower Hoodie?

Yes - $60+GST

Subtotal = $

Grand Total (includes 5% GST) = $

Complete Your Registration

Please e-transfer the grand total of $ to empowerhockey@gmail.com.

IMPORTANT: You must include the Athlete's First & Last Name in the e-transfer "Message" or "Memo" field.

Once your e-transfer is complete, return to this form and finish submitting your registration to secure your spot.

***Your registration cannot be accepted until the e-transfer has been sent***

Emergency Contact First & Last Name

Emergency Contact Phone Number

Review the "Cancellation and Refund Policy"

I acknowledge and agree to the "Cancellation and Refund Policy".