2024-25 HPP - U18 Female Selection Camp

Players Name*

First NameLast Name

Date of Birth*

Home Address*

Street Address

CityProvince

Postal / Zip Code

Players Cell Phone*

Area CodePhone Number

Players Email

example@example.com

Height*

Weight*

Position*

Please enter the team/league you are currently playing for:*

Short Size:*

Shirt / Sweater Size:*

Mother / Guardian name:*

First NameLast Name

-> Email*

Confirmation EmailRe-Enter Mother / Guardian #1 Email

Father / Guardian name:*

First NameLast Name

->Email*

Confirmation EmailRe-Enter Father / Guardian #2 Email

Emergency Contact Person in case of emergency other than parent/guardian:*

First NameLast Name

Emergency Contact Phone Number*

Area CodePhone Number

Please list any allergies or current/past injuries or medical information that you feel our certified and trained Medical Staff/Athletic Therapists should be aware of (Please note this information is kept confidential):

*Any medical condition or injury problem should be checked by your physician before participating in a hockey program.

I understand that it is my responsibility to keep the HPP Management team advised of any change in the above information as soon as possible and that in the event no one can be contacted; HPP Management will take my child to hospital/MD if deemed necessary. I hereby authorize the physician and nursing staff to undertake examination, investigation and necessary treatment of my child.

I also authorized the release of information to appropriate people (coach, training staff, physician, etc) as deemed necessary.

A registration fee of $125.00 (Tax Included) is due to the Hockey PEI upon completion of this form. Payment can be made by e-transfer to INFO@HOCKEYPEI.COM

Please include the players name in the message area of the e-transfer.

Signature of Parent or Guardian Required below:

For more information on Hockey PEI's High Performance Program please email:

Travis McIsaac

Technical Director

travis@hockeypei.com