2025 HPP Summer Camp - Player Registration Form

HOCKEY PEI HIGH PERFORMANCE PROGRAM - PLAYER REGISTRATION FORM
General Info

Please fill in all of the required information below:
Players Name*

First NameLast Name
Date of Birth*

MonthDayYear
Division you are registering for: *
Player Contact Info

Please fill in all of the required information below:
Home Address*

Street Address

CityProvince

Postal / Zip Code
Players Cell Phone*

Area CodePhone Number
Players Email
example@example.com
Additional Player Info

Please fill in all of the required information below:
Height*
Weight*
Shot*
Position*
Player Clothing Sizes

Please fill out the following information:
Short Size:*
Shirt / Sweater Size:*
Parent / Guardian Contact Info

Please fill out the following information:
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 + Medical Info

Please fill out the following information:
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.
Payment & Signature
A registration fee of $350.00 is due to Hockey PEI upon completion of this form. Player application form will not be processed until we receive payment. Do you agree to pay in full before the deadline stated below? *
ACCEPTING PAYMENTS VIA E-TRANSFER AND CREDIT CARD
PLEASE NOTE: When sending an e-transfer payment to Hockey PEI (info@hockeypei.com) please include player's name and age division under the message of the e-transfer.

* To pay by credit card, please call the Hockey PEI office at 902-368-4334.

* Deadline to submit registration form and payment of $350.00 is August 1, 2025
Signature of Parent or Guardian Required below:
For more information on the Hockey PEI High Performance Program please email:

Travis McIsaac

Technical Director

travis@hockeypei.com
Should be Empty:

HOCKEY PEI HIGH PERFORMANCE PROGRAM - PLAYER REGISTRATION FORM

General Info

Player Contact Info

Additional Player Info

Player Clothing Sizes

Parent / Guardian Contact Info

Emergency Contact + Medical Info

Payment & Signature