Revival Application

Please register here for Revival Camps.
Incomplete applications may not be accepted. Enter all fields before clicking the Submit Application button.

STEP 1 - Which Revival Camp are you interested in:

Oakville - July 4th-7th / 2011

Victoria - July 25th-28th / 2011

STEP 2 - Session Choice:

9am - 12pm Tyke & Novice

1pm - 4pm Pee Wee & Bantam

STEP 3 - Personal Information

Name:

Email:

Address:

City:

Province:

Postal:

Home Phone:

Cell Phone:

Sex:

Age - DOB 14 - 1993

Male Female

How did you hear about Revival:

STEP 4 - Parent's / Guardian's

Name:

Email:

STEP 5 - Athletic Information

Height:

Weight:

Shot:

Box Position:

STEP 6 - Comments & Question

If you have any questions or comments in regards to your registration please enter them below.

FINAL STEP

Please double check what you have entered above hit Submit Application.