Fort Smith Minor Hockey Skills Camp (Oct 24 - 26, 2025)
Player First Name
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Player Last Name
*
Player Birth Date
*
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Month
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Day
Year
Date Picker Icon
Parent or Guardian Contact Name
*
Parent or Guardian Cell Phone
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Area Code
Phone Number
Parent or Guardian Email
*
example@example.com
This Email will be used to communicate camp details..
Emergency Contact Name
*
Emergency Contact Cell Number
*
-
Area Code
Phone Number
Fort Smith Minor Hockey Member
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Yes, I'm a member of Fort Smith Minor Hockey
No (Please answer the below question)
Non-Members Only: What association are you registered with?
Non-Members must be registered with their Local Minor Hockey Association before completing this registration.
Age Division Chart for 2025-2026 Season (Age on Dec 31, 2025)
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Under 7 - (2019 born or earlier)
Under 9 - (2018-2017 born)
Under 11 - (2016-2015 born)
Under 13 - (2014-2013 born)
Under 15 - (2012-2011 born)
Under 18 - (2010-2009-2008 born)
Fury Female Team
What is your preferred Player Position?
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Skater
Goalie
Health Card Number
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Any Medical or Allergy Issues
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Yes
No
Epi-Pen (Type in location where it is stored below)
Medical Alert ID
Other
If Yes, please provide more details regarding Medical Issues
*
Epi Pen Location
*
SPORTS WAIVER (PLEASE READ CAREFULLY AND ELECTRONICALLY SIGN BELOW)
Signature
*
E-Transfer $100 Payment to hitekpayment@gmail.com
Please make sure you include the following in the message Option Box before sending payment through E-Transfer; #1. THE PARTICIPANTS FIRST & LAST NAME.... #2. CAMP TITLE - The Camp Title is "Fort Smith Hockey 2025"
Payment Inquires Contact Info
Charlene Leroux (403)-894-2756
The participant has "NOT SECURED" a spot in the 2025 Fort Smith Hockey Camp unless payment is made in full. E-Transfer payment must be made before submitting registration.
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