Team	GP	W	L	T	PTS	GF	GA	DIFF	PIM	GB	HR

Player Info for Hockey Canada ID Number

Please complete this form asap and you will get back a member ID number in order to register your player.

Email Address

Players Name

Date of Birth (mm/dd/yyyy)

Address

Guardian Name

Guardian email

Guardian cell phone

2+9=

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The WMHA Office is located in the Sport Yukon Building on 4th Avenue

4061-4th Ave, Whitehorse, YT Y1A 1H1

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