Power Skating Registration Form

Fall 2026 Power Skating

Power Skating Registration Form

Thank you for registering with Shield Goaltending. Please complete this form for each goalie so our coaching staff can prepare the right groups and focus areas for every skate.

Takes about 3 minutes

One form per goalie

Shared only with Shield staff

Registration details received

Thank you. We have everything we need to prepare for your goalie on the ice.

If anything changes, or you are registering more than one goalie, simply complete the form again or email info@shieldgoaltending.com.

Submit another goalie

Program

Group registered *

Order numberOptional. You can find it in your order confirmation email.

Goalie

First name *

Last name *

Year of birth *

Catching glove hand *

Left hand Right hand

Years playing goal *

Hockey

Minor hockey association *

Team level this season *

Team name

Trained with Shield before? *

Returning New to Shield

What would your goalie like to improve this season?

Parent or Guardian

Full name *

Phone *

Email *

Second parent name and phone

Emergency and Health

Emergency contact *

Emergency phone *

Relationship *

Medical conditions, allergies or injuries our coaches should know about

Consent

May Shield Goaltending share photos or video of your goalie on our website and social media? *

Yes No

Video used privately for coaching feedback is part of the program either way.

I confirm the information above is accurate and I will let Shield Goaltending know if anything changes. *

Please complete the fields highlighted in red.

Your details are only used by Shield Goaltending staff to run the program. Questions? info@shieldgoaltending.com