Student's First Name
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Birth Date (FIRST, select month, then year, then date)
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Email Address: Your receipt and completion certificate will be emailed to the email address you enter in the Participant Information above. If you do not receive either of these emails after submitting your payment, please check your spam or junk mail folder.
Type any 3 letters of Group name and then select Group from listBishop’s University Hockey (Sherbrooke, Quebec)Washington (Pi Kappa Phi)Other
Group Name *
Group Contact Info *
Please create an account username and password below. Please store this information somewhere safe so that you may return to your dashboard at any time.
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Last name *
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Phone *
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Card number *
Expiry (MM/YY) *
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