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BC Hockey Clinic Hosting Request Form
Applicant Information

Application Season
 

 
Name of MHA*
 

 
Other, if not listed
 

 
District*
 

 
MHA Clinic Contact Name*
 

 
Phone Number*
(posted on website)

   
Email*
(posted on website)

   
Street*
(NOT posted on website)

 
City*
(NOT posted on website)

 
Province*
(NOT posted on website)

 
Postal Code*
(NOT posted on website)

 
Clinic Information

Type of Clinic*
 
 
Classroom Session Date * Start Date
 
 
End Date
 
 
Classroom Session Start Time*
Classroom Session End Time*
Ice Session Date * Start Date
 
 
End Date
 
 
Ice Session Start Time*
Ice Session End Time*
Registration Deadline* Date
 
 
Visibility*

Facility Address

Facility Name*
(where to meet)

 
Classroom
(if applicable)

 
Does the facility have
I.T. access?
 *
(Example: Wi-fi, Projector, etc.)

 
Street Address*
 

 
City*
 

 
Province*
(NOT posted on website)

 
Postal Code*
 

 
Ice Session Arena Address
(if different from classroom facility)

 
Billing Information

MHA Billing Address

Street*
 

 
City*
 

 
Province*
(NOT posted on website)

 
Postal Code*
 




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BC Hockey is a non-profit organization and member of Hockey Canada, providing stewardship of amateur hockey at all levels in British Columbia and Yukon.

Approximately 150 minor hockey associations, 55,000 players, 4,500 referees, 20,000 official volunteers and countless others make our great game possible here in Pacific Canada.

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