Heavy Metal Hockey Summer Hockey Camp
Player Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Parent Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Parent Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Playing Level for 2024-2025 Season
Squirt
Pee Wee
Bantam
High School
Position
Skater
Goalie
Jersey Size
Youth Small
Youth Medium
Youth Large
Small
Medium
Large
X- Large
T- Shirt Size
Youth Small
Youth Medium
Youth Large
Small
Medium
Large
X- Large
Short Size
Youth Small
Youth Medium
Youth Large
Small
Medium
Large
X- Large
Are you a Returning Heavy Metal Hockey Summer Camp player
YES
NO
Acknowledgement of Risk and Agreement* I consent to my child's participation in this training program. I understand that being Acknowledgement of Risk and Agreement in athletics prevents some risks, including the possibility of damage to my child's property or serious injury to my child. I agree, on behalf of myself and my child, to assume all the risks, in connection with, my child's participation in the training program. I agree that my child will follow relevant Heavy Metal Hockey Summer Camp directions, rules, and policies and will obey instructions. I acknowledge that Heavy Metal Hockey Summer Camp has the right to remove my child from participation in the Camp if they are not complying with the rules and regulations of the Camp.
Agree
Medical Release * I grant medical personnel permission to provide medical care for conditions, which may arise during participation in this training program. Heavy Metal Hockey does not assume any responsibility nor provide any insurance for medical expenses incurred by your dependents as a result of any accident or sickness while they are participating in this Camp.
Agree
Medical History- Any Medications / Allergies Please List
Deposit Acknowledgement In the event that we withdraw from the program for any reason, I acknowledge that my deposit of $500 will be non-refundable unless Heavy Metal Hockey is able to fill my players spot in the program.
Agree
Signature
Please verify that you are human
*
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