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BC Hockey Clinic Hosting Request Form
Applicant Information

Select 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)
, BC
 
Postal Code*
(NOT posted on website)

 
Clinic Information

Type of Clinic*
 







 
Proposed Clinic Date(s)* Start Date
 
 
End Date
 
 
Proposed Clinic Start Time*
Proposed Clinic End Time*
What is the Registration Deadline* Date
 
 
Visibility*

Facility Address

Facility Name*
(where to meet)

 
Facility Room
(if applicable)

 
Does the facility have
I.T. access?

(Example: Wi-fi, Projector, etc.)


 
Please describe the I.T.
amenities that are available

 

 
Street Address*
 

 
City*
 
, BC
 
Postal Code*
 

 
Billing Information

MHA Billing Address

Street*
 

 
City*
 
, BC
 
Postal Code*
 




ABOUT US
BC Hockey is a non-profit organization and member branch of Hockey Canada in charge of governing amateur hockey at all levels in British Columbia and the Yukon Territory.

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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