Member Registration

This membership is open to players, parents/caregivers, coaches, volunteers and sponsors of Grandravine Special Hockey. Your registration will need to be approved by the club. Once you are approved you will be able complete player registrations, coaching registrations and have access to other member only activities. You will also be enrolled to receive member-only news and information by email.

Instructions

1. Fill out the form below,
2. Your application will be reviewed by the registrar.
3. When you are approved you will receive an email with a link to complete your registration.

Member Registration

First Name *

Last Name *

Email *

Phone *

Address *

City *

Prov *

Postal Code *

Category *

Player

Parent

Caregiver

Coach

Sponsor

OtherOther

Choose all that apply.

Password *

Eight characters minimum One lowercase letter One uppercase letter One number One special character

Notes

0 of 100 max words

Captcha

If you are human, leave this field blank.