Pro Edge Hockey
Christmas Camp at Dedham

XMAS CAMP @ DEDHAM

Player Info
Player Name *
Team *
Current Team
Contact - Phone Number *
Players Cell
Contact - Email *
Players Email
Players Birth Date *
Players BDay ( xx/xx/xxxx)
Position *
What position do you play
Spring/Summer *
Spring / Summer Program
Contact - Parents Names *
Address *
City *
State/Zip *
Contact - Email *
Parent Email
Contact - Phone Number *
Parent Cell
Billing Address 
Billing Address *
Billing City *
Billing State/Zip *
Payment
Amount
Cost of Tournament
$175.00
Payment Method *
       
Name on Card *
Card Number *
Expiration Date *
Please leave blank

Christmas Camp @ Dedham 

Dec 26th, 27th and 28th 

$175