Francais

2012 Registration Form

Note that all the field are required unless otherwise stated.

Team Information

The cheque of 450$ must be made out in the name of "Tournoi Hockey Bantam L'Ancienne-Lorette" and could be post-dated to October 15th 2011. Send the payment to the following address:

L'Ancienne-Lorette National Bantam Hockey Tournament
1311, des Loisirs, case 322
L'Ancienne-Lorette, Qc
G2E 0A5

Contact Information

  999-999-9999
  999-999-9999
  999-999-9999

Kazar Creation