Jarrett Burton Hockey Camp Registration

Jarrett Burton Hockey Camp

June 10th-12th - INVISTA Centre - Kingston, ON
Player Information
Player's Full Name*

First NameLast Name
YOB*
ex) 2004
U10 (8-10)U12 (11-12)U14 (13-14)
Parent/ Guardian Contact
Parent/ Guardian Contact

First NameLast Name
E-mail*
Phone Number*

Area CodePhone Number
Emergency Contact
Emergency Contact

First NameLast Name
Emergency Contact Phone

Area CodePhone Number
Relationship to Player
Jersey Size
Youth SmallYouth MediumYouth LargeYouth XLAdult SmallAdult MediumAdult Large
Parental Consent and Liability Waiver

I understand that participation in hockey and athletic activities involves risk of injury. I hereby release and hold harmless Jarrett Burton, Jarrett Burton Hockey Camp, coaches, volunteers, and associated facilities from any and all liability, claims, or demands for personal injury, illness, property damage, or loss incurred while participating in the camp. I certify that my child is physically fit and able to participate in hockey activities

Please note that all registrations are final. No refunds will be issued due to the advance ordering of custom jerseys for each participant.
Payment Instructions
Please send $450.87 ($399 + HST) via e-transfer to jarrett@barbermcdonald.com.

Be sure to include your child’s full name in the message.

Registration will only be confirmed once payment has been received.

We're looking forward to a great camp and an awesome experience for all the players!
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Jarrett Burton Hockey Camp