HockeyEd Course Registration

Personal Information

Name*

DOB*

Association/Club*

Email*

Mobile*

Course Registration

Course Registering for*

Have you completed your HockeyEd registration*

Have you completed your HockeyEd online modules*

Umpire Coaching/Technical Official Experience*

What do you most want to learn out of this course?*

Payment

How do you wish to pay the fee for this course?*