SportsEngine Registration: Humboldt Broncos (SJHL)

Kids Rec Hockey

Information
Review
Confirmation

Information

First Name:*

Last Name:*

Email:*

Address 1:*

Address 2:

City:*

Province/Territory:*

Postal Code:*

Phone Number 1:*

Phone Number 2:

Please list any other relevent information that the organizers/supervisors should be aware of (medical, allergies, etc.). If nothing needs to be noted please mark as N/A.:*

Payment Information

Payment can be made at the Humboldt Broncos Office by Cheque, Mastercard, Visa, Debit or Cash.

Payments can also be mailed to Box 1414 Humboldt, SK S0K 2A0.

You will be contacted if payment has not been made by start date.