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Registrant Information

2024 and 30th Annual IWK Pro Hockey Draft Online Registration Form In Support of the 2024 IWK Telethon for Children
OVER $475,000 RAISED SINCE INCEPTION

Thursday April 25, 2024
6:30 for 7:00 pm Halifax Forum Maritime Room (Young Street Entrance next to Bingo Hall)

Please Note Only Credit Card Registrations Are Accepted

First Name *

Last Name *

Birthdate *

Email Address *

Address *

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Province *

Postal Code *

Phone Number *

Team Partner First Name *

First name

Team Partner Last Name *

Last Name