LCA Sponsored Program Registration - Regina Lakeview Community Association

NOTE: If your membership fee is NOT being covered by a sponsorship program, please click here to pay online.

"*" indicates required fields

Program*

Hockey Skills 7-8 yrs and 9-12 yrs[$340]

Sponsorship*

Specify which organization is covering your registration fee.

JumpStart

KidSport

Other

Are you registering on behalf of a child?*

Participant Name*

Date of Birth*

Parent Name*

Address*

Email*

Phone*

Membership Number*

Comments

This field is for validation purposes and should be left unchanged.