Skill Development Camp Form

Skill Development Camp Form

EDZA West U15 AAA Western Phantoms Skill Development Camp
Open to all U15 female players (2008-2010)
Player Name

First NameLast Name
Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

City Province

Postal Code
Position

ForwardDefenceGoalie
Team and Level last season
Parent/Guardian #1

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Parent/Guardian #2

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Parental Consent and Liability Waiver

I consent for the above stated player to participate in the skill development camp and verify that the player has no medical problems and is in good physical health. The EDZA West Phantoms, AYR Motor Center or the Willie O'Ree Place will not be held responsible for any accidents, medical, dental or insurance claims resulting from injury and release all mentioned parties from claims.

You must complete this form and pay in full to secure a spot.

Registration Fee - $100

Payment of registration can be made by e-transfer to AAAWesternPhantoms@gmail.com (please use HOCKEY as password, if asked) Please include your players name in the message section of the e-transfer.
Terms and Conditions*
Skill Development Icetimes/Location

September 3 12:30-1:30 Willie O'Ree 1
4:30-5:30 Willie O'Ree 1

September 4 11:30-12:30 AYR Centre
2:15-3:30 AYR Centre
Should be Empty: