Showcase register

Showcase register

Showcase

QC-USA Showcase register

You are about to register for Showcase Québec-USA 2010. The cost is 75$ non-refundable. Registrations done after November 26nd 2010 will be of 100$ $ non-refundable.

Registration will become official and a spot confirmed upon clearance of payment.

Mail to :

Showcase QC-USA
11 rue Hotel-de-ville
Gatineau, Québec
J8X 2C6

Thank you

Form

* Fields are required

* First name :

* Last name :

* Email address:

* Phone number :

* Address :

* Birthday :

* School :

* School average :

* Team name :

* Level :

* Position :

* Height (inches) :

* Weight (pounds) :

* T-shirt size : S M L XL XXL