TEAM REGISTRATION | Breakawayperformance

top of page

U9 FULL (waiting list started)

U11 FULL (waiting list started)

U13 FULL (waiting list started)

U15 (open spots)

U18/21 (open spots)

U13 GIRLS (open spots)

U15 GIRLS (open spots)

TEAM
REGISTRATION

PLAYER / PARENTS
INFORMATION

TEAM NAME

Players Full Name

Female / Male

AGE

Association Played for in 2023-24 Season

Date of Birth

Parents Full Name

Parents Full Name (OTHER)

Street Address

City

Postal Code

Contact Number

Email

Email (other)

Have You Played In Our Summer 3on3 Program Before? *

Yes

No

Do you have any questions or comments?

What Level Do You Play Currently *

LL

REP

A

AA

AAA

DIVISION (2024/25 Season) *

U9

U11

U13

U15

U18/21

Registering As a *

PLAYER

GOALIE

Jersey Size (Youth)

XL (42"-44")

Large (40"-42")

Medium (38-40")

Small (36"-38")

Jersy Size (Adult)

XXXL (57"- 59")

XXL (55"- 57")

XL (53"- 55")

Large (49"- 51")

Medium (45"- 47")

Small (41"- 43")

TEAM PAYMENT

TEAMS ARE REQUIRED TO HAVE HALF UP FRONT WHEN REGISTERED AND REMAINING FEE PAID BY MARCH 31st

* Players will be playing in the same division that they played in during the 2023-24 winter season

* Spots will ONLY be confirmed once payment has been completed

* Payment can be made via EMAIL To:
tonyturner77@hotmail.com

$380
PER PLAYER

$4,560
PER TEAM

Team payment $2250 up front, remainder due March 31st

© Breakaway Performance Hockey Skills & Development •

breakawayperformancehockey@gmail.com • Wasaga Beach, ON

bottom of page