Gr 10-12 Academy_2023-24 - P3 Sports Inc.

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Program

Athlete Name*

Medical Concerns

School*

Jersey Size*

Jersey No. Request

Healthcare No.*

Grade*

Gender*

Preferred Position*

Current Team & Level*

Last Season Team & Level*

Parent/Guardian #1 Name*

Parent/Guardian #1 Email*

Parent/Guardian #1 Phone*

Parent/Guardian #2 Name

Parent/Guardian #2 Email

Parent/Guardian #2 Phone

Emergency Contact Name

Emergency Contact Email

Emergency Contact Phone

Hockey Payment Options*

Payment Method

Credit Card

Card Details

Cardholder Name

Option A - Full Price $3,303.30 (Incl. GST)

Price:

Option B -25% Deposit + 1 Payment $2,477.48 (Incl. GST)

Price:

Option B Remaining Fee (Incl. GST) (USE COUPON CODE: ACADHS)

Price:

Remainder of payment due in a month.
TYPE ACADHS into the Coupon box to process the deposit amount.

Coupon*

Total

$ 0.00 CAD

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Amount Paid(Credit Card)

Reference Form

Max. file size: 256 MB.

Consent*

P3 Sports