subject_line
GOALIE INFORMATION
First Name
*
Last Name
Contact Email 1
*
Gender
*
Male
Female
ADDRESS INFORMATION
Street Address
*
City
*
State/Province/Region
*
Zip/Postal Code
*
Home Phone Number
*
Mobile Phone Number
ADULT CAMPS
Westhills Victoria - TBA
Oceanside Arena - Parksville BC - Monday Aug 7 to Thursday Aug 10/23 (6:30 to 8:00 PM)
Select Camp Dates:
*
Westhills (Victoria) TO BE CONFIMED $299.00 + GST
Oceanside (Parksville) August 7-10/23 $299.00 + GST
I will be bringing a shooter with me?
*
Yes
No
PAYMENT INFORMATION
PROMO CODE
Payment Options
*
Full Payment
Payment Method
*
Visa
Master Card
E-Transfer (email vi@goldinthenet.com)
Name on Card
CVV Number
Credit Card Number
Expiration Date (mm/yy)
Credit Card Billing State/Postal Code
*
I/we acknowledge that I/we have read the GITN Waiver, Terms & Conditions link below.
GITN Waiver, Terms & Conditions