To register and pay for Louis Chabot Hockey Schools online:
  1. Please accurately complete this application page, being sure to fill in all applicable fields.
  2. You should fill out all fields to the best of your ability to assure student's proper placement in the school.
  3. Make sure to accurately enter your credit card and billing address information.
  4. Please make sure to enter the billing address information exactly as it appears on your credit card, especially if it is different from your present address.
  5. When done, click the CONTINUE button below.
  6. You will have an opportunity to review your information on the next page before submitting the application for credit card processing.
Please email Mr. Louis Chabot if you have any questions.

 

Registration Information
 
Choose Hockey School:
 Desired Position
Level
 		Division
List any medical condition
 Asthma/Inhaler
Date of Birth
Weight: lbs.
Height:

Payment Information
Cardholder's First Name
  		Cardholder's Last Name
Billing Address
 		 Apt
City
          		 State
 		Postal Code
 		Country
Billing Phone Number
    		  Work Number (optional)
Emergency/Cell (optional)
Email - REQUIRED FOR CONFIRMATION

NOTE: You must type in your name, address, and zip code EXACTLY as it appears on your credit card statement.

Credit Card Information
Card Type
   		 Card Number (no dashes or spaces)
      
Expiration Month
  		 Expiration Year
Card Verification Number* (see diagram below for Visa & MasterCard)
   
Amount To Be Charged (do not enter a dollar sign)
$

CCV Diagram

*Card Verification Number for Visa & MasterCard is the last three digits of the number in the signature panel on the back of the card.

Pad Lock Continue Securely to Confirmation Page.