Parksville Panters Senior Hockey

Home of the Classic and Junket

 

 

Make entry cheques payable to Parksville Panters Hockey Club and send to:

June Cousineau

591 Johnstone Rd.

Parksville, BC

V9P 2A5

 

 

 

Team Registration - When filling out this form please stay on this page until it has been completed.

TAB BETWEEN TEXT BOXES. When finished press enter or click the submit button.

Team Name*
Select*
Age/ Division*
Home Colors
Away Colors
Manager*
Address
City*
Prov/State
Postal Code
Phone 1*
Phone 2
Fax
Email*

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