The Regina Pat Canadians are compiling a database for all alumni. If you are a Pat Canadians alumni, please take a moment and submit the following form.

Not all the information received will be available to the public, only the name; phone number and email address will be on the web site to enable past alumni to contact each other. The Regina Pat Canadian Hockey Club will use the balance of the information for internal purposes.

Only forms with complete contact information will be accepted.


Winter Address

Summer Address (if different)

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