TEAM REGISTRATION | Breakawayperformance

top of page

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")

Sock Sizes

Youth 21"

Youth 23"

Intermediate 25"

Intermediate 28"

Adult 30"

Adult XL Wide 30"

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