Open Camp Registration
Registration for the Open Camp must be completed by June 30th, 2010.
Player name:
*
First
i
Last
Address:
*
Street
City
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon Territory
Postal
Telephone:
*
(
)
-
ext.
Email:
*
Age:
*
Sweater Size:
*
yM
yL
S
M
L
XL
T-shirt Size:
*
yM
yL
S
M
L
XL
All orders are final.
Open Camp July 19 - 23, 2010
I register as a:
*
Goalie ( $190 )
Skater ( $375 )
session 1
Ages 7-9 yrs
session 2
Ages 10-12 yrs
Player Health Card #:
*
This number is not recorded online.
Parent / Guardian
Parent / Guardian Name:
*
First
i
Last
I agree to the terms and conditions below
Terms and conditions
I, hereby personally and as a parent or guardian of the applicant release you, your officials, staff, co-ordinators, supervisors, instructors and/or participants of actions and/or lawsuits arising from any injury and/or accident to the participant during the on ice and off ice activities during this hockey school.
If I cannot be reached in case of an emergency, I authorize any member of the hockey school program staff to obtain immediate medical attention.
Also, by the signature below, I certify that the information given in this application is true and accurate.