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Program Information

Location: Ice Vault Arena - 10 Nevins Rd - Wayne, NJ 07470

Dates: Monday December 28 2026 - Monday December 28 2026

Details: 10:00am - 12:45pm

Group: Clinic: Group B: Ages 11 - Adult

Cost: $275.00 USD

Admin Fee: $8.25 USD

Total: $283.25 USD

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Student Information

First Name

Last Name

Date of Birth

Gender

Primary Email Address (Confirmation email and receipt will be sent here)

Secondary Email Address

Hockey Experience

Current Organization

Billing Information

First Name

Last Name

Address Line 1

Country

State

City

Postal Code

Main Contact Information

Copy billing name and primary email to main contact

First Name

Last Name

Email Address

Phone Number

Phone Number Type

Emergency Contact Information

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First Name

Last Name

Email Address

Phone Number

Phone Number Type

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