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Participant Information
First Name
*
Last Name
*
Birth Date
Division
Mite
Squirt
Pee Wee
Bantam
Midget
Registered by:
First Name
Last Name
Relationship to Participant:
Self
Mother
Father
Guardian
Other
Address 1
Address 2
City
State
Zip
Phone
Email Address
*
S4 Membership
Monthly Memberships - Once you register, contact Brandon via email at Thelab@powerplayrinks.com to schedule your weekly S4 session.
-
Additional Training Session - $20 Per - Contact Thelab@powerplayrinks.com prior to purchasing.
Additional Train Lab $20 - Contact Lab
Claim Your Offer - Enter Coupon Code Below!
All payments are non refundable.
CLICK TO REVIEW REFUND POLICY
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