Clone of Conference Registration Form with Payment

Individual Training Program 2025

Registration form
Player Name*

First NameLast Name
Parent Name*

First NameLast Name
Player Full Birth Date*

MonthDayYear
Phone Number*
Email*
Jersey Size*
youth or adult & S, M, L or goalie
City & Province*

CityState / Province
How did you hear about us?
Please answer these questions to help us with group placement. What level and position did you play last season? What are your goals for camp?*
Cancellation Policy: Upon receipt of your payment, no refund will be issued except upon receipt of a medical report from a qualified physician; stating that the registered child is unable to participate in the hockey camp for medical reasons. A processing fee will apply. The above refund policy is only applicable to cancellations prior to the first day of camp. The camp is not refundable or partially refundable once the camp has started.*

By checking this box I acknowledge that I understand the Cancellation Policy & will add info@hdihockey.ca to our safe sender list to ensure I receive all email communications.
During the camp, pictures and videos will be taken. These materials may be used for HDI's advertising purposes (this consent can be revoked at any time.)*

Agree.Disagree.
Payments are processed through PayPal. You may pay using an existing PayPal account, or any major credit card / debit card.

Please select one of these options:*

July 28 - August 1 (ITP) Revelstoke875.00 + GST

$918.75CAD

August 4 - August 8 (ITP) Revelstoke875.00 + GST

$918.75CAD

Two week program (DISCOUNT) (July 28 - August 1 & August 4 - August 8) Revelstoke1,450.00 + GST

$1,522.50CAD

Individual Training Program 2025