Goalie’s Name *
DOB *
Height (ft. in.) *
Weight (lbs) *
Medical Information (injuries, health concerns, etc.) *
Email *
Health Card # *
Current Team *
Age Group *
Level *
Gender *Gender*ManWomanNon-binary
Coach’s Name *
Phone *
Parent/Legal Guardian’s Name *
Address *
City *
Prov/State *
Country *
Postal Code/Zip *
Home Phone
Work Phone
Cell Phone
Please select the camp(s) that you would like to register for and use the dropdown menu to select the Program Type: Regular (3 to 1) or Dedicated (2 to 1).
Christmas Camp
Reg 3:1Ded 2:1
March-Break Camp
Pre-tryout Camp
Pro / Elite Goalie Camp
Ded 2:1
Summer 1st Camp
Summer 2nd Camp
Summer 3rd Camp
Summer 4th Camp
Summer 5th Camp
Please indicate if you require any of the following:
Trainer
Goalie Jersey
T-Shirt
Residence
Parent/Guardian Name (please print) *
Date *
Check here to indicate that you have read and agree to the Franco Canadian Goalie School Terms and Conditions. *
