CORNWALL - Registration Form

Registration Form - Cornwall Camp

Fill out the form carefully for registration
Player Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Email*
example@example.com
Mobile Number*
Format: (000) 000-0000.
Tshirt Size
Jersey size
Select your player's age group*
prevnext( X )
2020-2021-2022
3 hours of on-ice training

3 hours of off-ice training

Includes:

- Hockey Xtreme camp T-shirt

- Hockey Xtreme Practice Jersey

$150.00CAD Quantité



2017-2018-2019
3.5 hours of on-ice training

3 hours of off-ice training

Includes:

-Hockey Xtreme camp T-shirt

-Hockey Xtreme Practice Jersey

$175.00CAD Quantity



2016-2015-2014
4 hours of on-ice training

3 hours of off-ice training

Includes:

-Hockey Xtreme camp T-shirt

-Hockey Xtreme Practice Jersey

$200.00CAD Quantity



Total

$0.00CAD
Additional Comments
By registering for a Hockey Xtreme camp, the participant and their legal guardian acknowledge and accept that Hockey Xtreme is not liable for any injuries,accidents, or losses that may occur during the activity. Participation is voluntary and at the player’s own risk. Hockey Xtreme is not responsible for any decisions made by teams, coaches, or organizations regarding player selection, development, or future opportunities following the camp.*

I approve and accept the terms of this waivers
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Registration Form - Cornwall Camp