4on4_register
Player's Name
*
First Name
Last Name
Program/Week
Please Select
Summer Camp #1 July 6th-8th
Summer Camp #2 July 13th-15th
Summer Camp #3 July 20th-22nd
Summer Camp #4 July 27th-29th
Summer Camp #5 Aug 4th-6th
Summer Camp #6 August 10th-13th
Summer Camp #7 August 17th-19th
Summer Camp #8 August 24th-26th
Position
*
Please Select
Defense
Forward
Street address
*
(do not use commas)
Town/City
*
(do not use commas)
Postal Code
*
Telephone
*
Format: (000) 000-0000.
E-mail address
*
Medical information
(do not use commas)
Waiver terms and refund policy approval
*
WAIVER CLAIM - Acknowledging that there is a risk associated with participation in any sport, I, the legal parent or guardian of the participant, agree that OVERTIME Hockey Company Inc, its agents, servants, employees, and consultants will not be responsible for any accident, damage, injury or loss, however caused, negligent or otherwise, at any time and expressly release any and all of the aforementioned parties from all claims arising from any accident, damage, injury, or loss or as a consequence thereof. I understand that my said agreement, release and discharge, shall bind my heirs, legal representatives and assigns and shall inure to the benefit of OVERTIME Hockey Company Inc, its agents, servants, and consultants and their successors and assigns. I acknowledge that OVERTIME Hockey Company Inc strongly recommends that my son/daughter have a physical examination by a doctor to ensure he/she is in good health and fully physically able to participate in the vigorous activity of ice hockey. In the event that my son/daughter is injured during the operation of OVERTIME Hockey Company Inc programs, I give my permission for transportation as needed to a medical practitioner / facility at my expense. I agree that all photographs acquired during the operation of the league become the property of OVERTIME Hockey Company Inc and may be used for promotional purposes. REFUND POLICY Only in the event of uncontrollable circumstances that prohibit a player from continuing in OVERTIME Hockey Company programs (e.g., a season-ending injury, moving to a new location, etc.) will a refund be provided. The refund will consist of a pro-rated portion of the registration fee (minus an administrative fee) following notification of the Director.
*
Yes, I have read the Waiver Terms and Refund Policy and agree to their terms.
Parent Name
*
First Name
Last Name
My Products
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OHC 3 Day Summer Camp Program
$260.00 CAD
$
260.00
CAD
1 Hr Treadmill 1 Hr On Ice 1 Hr Off Ice
Quantity
1
2
3
4
5
6
7
8
9
10
Enter coupon
Apply
Subtotal
$0.00 CAD
$
0.00
CAD
Tax
$0.00 CAD
$
0.00
CAD
Total
$0.00 CAD
$
0.00
CAD
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
January
February
March
April
May
June
July
August
September
October
November
December
Expiration Month
Expiration Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Expiration Year
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