2025 Try Girls Hockey (Chatham Kent Girls Hockey)

First^*

Required

Last^*

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Birthdate^*

Required

Use the calendar to select a date.

Street Address^*

Required

City^*

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Postal Code^*

Required

Parent Name (1st)^*

Required

Phone: Parent (1st)^*

Required

Example: ###-###-####

Email: Parent (1st)^*

Required

Parent Name (2nd)

Phone: Parent (2nd)

Example: ###-###-####

Email: Parent (2nd)

Which Try girls hockey skate will your daughter attend based on her age?

How well does your daughter know how to skate?^*

Required

Has your daughter previously played hockey / ringette?^*

Required

Select yes/no.

For how many years has your daughter played? And with what association did she play?

If you answered yes to the previous question, please answer this question.

What year was your daugther born?^*

Required