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New Survey: Montreal Alumni Game - Player Application


 
Disclaimer
This is the official Player Application online form for the Montreal Canadiens Alumni Game – 7pm, Thursday, February 15, 2018 – Prospera Centre, Chilliwack. All Successful Applicants must agree to the following: • Application Fee: $300 (non-refundable, payable to CSCL) • 15 Tickets to sell – proceeds go to CSCL • 15 additional/optional tickets to sell (you keep the proceeds; chance to earn your original $300 back)
Title *
First Name *
Last Name *
Birthdate *
Select a date from the calendar.
DD/MM/YYYY
Gender *
Phone *
(###) ###-####
Email *
Address *
City *
Postal Code *
Highest Level of Organized Hockey *
Highest Level of Recreational Hockey *
Are You Playing Hockey Now? If so, Where and for What Team? *
Preferred Jersey Number *
Preferred Position *
Relationship to CSCL *
   
How did you hear about this event? *
Why are you interested in being part of this team and charity event? *