Michael Desfossés Memorial Cup Please complete the form below. When you hit the SUBMIT button you will be taken to our online Square payment portal to complete payment. Thanks! Michael Defossés Memorial Cup registration Participant #1 Name * Participant #1 Name Participant #1 Name Participant #1 Name Birthdate (if under 18) Which club are you affiliated with? I am registering for the following division(s) * Youth Foam Youth Steel Adult Participant #2 Name Participant #2 Name Participant #2 Name Participant #2 Name Birthdate (if under 18) Which club are you affiliated with? I am registering for the following division(s) Youth Foam Youth Steel Adult Participant #3 Name Participant #3 Name Participant #3 Name Participant #3 Name Birthdate (if under 18) Which club are you affiliated with? I am registering for the following division(s) Youth Foam Youth Steel Adult Parent / Guardian Parent / Guardian Please provide your name if you are not registering yourself above as Student #1. Please provide your name if you are not registering yourself above as Student #1. Parent / Guardian Phone * Email * Mailing Address * Emergency Contact * Emergency Contact Emergency Contact Emergency Contact Phone Email * Relation to Participant * How did you find out about us? friend referral social media poster or print ad Facebook ad Internet Search Other Submit registration form If you are human, leave this field blank.
