Premier Hockey Academy Student Information Form

For the 2023-2024 school year

Registration Process:

  • This registration form is for the Junior Prospect Hockey League (JPHL)
  • Student registration forms will be reviewed by both the West Van Reign staff as well as the Director of Instruction, West Vancouver Schools.
  • Potential student-athletes will be requested to participate in an ID Skate.
  • Part of the process will also be attending an Information Session to learn about West Vancouver Schools, as well as West Vancouver Secondary School, and the focus on the importance of the academics.

U14 APPLICATION ONLY

"*" indicates required fields

Student Information

Name*
Date of Birth*

Primary Parent Contact Information

Primary Parent Name*
Primary Parent Address*

Other Parent Contact Information

Other Name

Additional Information

Teacher Reference

Name*

Teacher Contact Information

A Bit About You as a Hockey Player

A Bit About You as a Student

A Bit About Your Character

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Admissions for the 24/25 school year are openClick here for eligibility and timelines