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Registrant Information

2025 Annual IWK Pro Hockey Draft Online Registration Form In Support of the 2025 IWK Telethon for Children
OVER $490,000 RAISED SINCE INCEPTION

Thursday April 17, 2025
6:30 for 7:00 pm Halifax Forum Maritime Room (Almon Street Entrance next to Bingo Hall)


Please Note Only Credit Card Registrations Are Accepted  

 

First Name *


Last Name *


Birthdate *


Email Address *


Address *


City / Hometown *


Province *



Postal Code *


Phone Number *


Team Partner First Name *

First name

Team Partner Last Name *

Last Name



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