GOALIE INFORMATION

First Name *

Last Name

Contact Email 1 *

Gender *

ADDRESS INFORMATION

Street Address *

City *

State/Province/Region *

Zip/Postal Code *

Home Phone Number *

Mobile Phone Number

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

PROMO CODE

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Full Payment

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Visa

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E-Transfer (email vi@goldinthenet.com)

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