WBS Knights - USHL & BCHL Player Identification Camp
December 27 - 29, 2024
Join this exclusive camp and take the first step in becoming a USHL or a BCHL player. Our coaching and scouting staff will be joined by coaches and scouts from the Dubuque Fighting Saints and the Nanaimo Clippers in this camp. The collective group will be present to evaluate new talent as they compete to join our teams for the upcoming season and to build new relationships with future prospects who have aspirations to follow the NCAA track.
Where:
Revolution Ice Centre, 12 Old Boston Road, Pittston, PA 18640
When:
May 31, 20024 to June 3, 2024
Who:
The camp is open to players born between 2004 and 2010
Player Information
Player Name
*
Birthdate
*
Please select a month
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Year
Player Phone Number
Please enter a valid phone number.
T-Shirt Size
*
Please Select
YS
YM
YL
AS
AM
AL
AXL
AXXL
Shorts
*
Please Select
YS
YM
YL
AS
AM
AL
AXL
AXXL
Jersey Size
*
Please Select
YS
YM
YL
AS
AM
AL
AXL
AXXL
Goalie Large
Goalie XL
Goalie XXL
Goalie XXXL
Shoots
Please Select
Right
Left
Preferred Position
*
Forward
Defense
Goalie
Have you been selected to a USA Hockey Multi-District or District Camp?
*
Yes
No
If yes, which one?
Elite Prospects Profile Link
*
2023 - 2024 Team Name and Level (A, AA, AAA, Elite, Premier, etc.)
*
2024 - 2025 Team Name and Level (A, AA, AAA, Elite, Premier, etc.)
*
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Parents' Information
Parent/Guardian 1
Parent/Guardian
*
First Name
Last Name
Relationship to Child
*
E-mail
*
example@example.com
Cell Phone
*
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Emergency Contacts/Authorized Pickup
Parents cannot be listed as emergency contacts. List the name of at least one person who can be contacted in the event of an emergency or illness if you cannot be reached. Any person listed should be able to assist in contacting you. At least one person listed must be at least 18 years of age.
Emergency Contact #1
Full Name
*
First Name
Last Name
Primary Phone Number
*
Relationship to Player
*
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Medical / Health Information
Name of Physician
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Is the player up-to-date on all immunizations?
*
Yes
No
Does your child have any food, medication or environmental allergies?
*
Yes
No
Allergies? Check all that apply
*
Food
Medication
Environmental
Please list and explain any allergies (if none, list NONE)
*
0/150
Does your child’s allergy/allergies require staff to monitor child for symptoms, take action if a reaction occurs, or give emergency medication to your child?
*
Yes
No
Does your child have a special health or medical condition?
*
Yes
No
Please explain
*
0/150
Is your child currently using any medication, food supplement or medical food (such as electrolyte solution)?
*
Yes
No
Please explain
*
0/150
Does your child have any dietary restrictions, including those for medical, religious or cultural reasons?
*
Yes
No
Please explain
*
0/150
List any history of hospitalization, outpatient surgery, or previous health concerns that would be needed to assist the staff or medical personnel in an emergency situation.
*
0/200
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Payment and Statement of Understanding
I HAVE READ AND ACCEPT THE WAIVER OF LIABILITY
Date Signed
*
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Month
-
Day
Year
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I agree with the Waiver listed above
*
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Player Registration with Lodging and Meal Plan
$
849.00
Player Registration NO LODGING or MEAL PLAN
$
499.00
Payment Methods
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