Gr 5 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 $2,742.75 (Incl. GST)

Price:

Option B - 25% Deposit + 1 payment $2,043.56 (Incl GST)

Price:

USE CODE ACAD5S

Option B Remaining Fee (incl. GST) (USE COUPON CODE: ACAD5S)

Price:

Remainder of payment processed in a month.
TYPE ACAD5S into the Coupon box to process the deposit amount.

Do you have any coupons?

Coupon*

Please remember to put in the coupon code into the coupon box above process the deposit amount.

Total

$ 0.00 CAD

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Amount Paid(Credit Card)

Reference Form

Max. file size: 256 MB.

Consent*

I agree to the Terms & Conditions

Registration

P3 Sports

Gr 5 Academy 2023/24