Firsov Hockey Academy Summer Camp

Firsov Summer Hockey Development Camp
Player's Full Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender*
Parent's Email*
example@example.com
Phone Number*
Format: (000) 000-0000.
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Medical Conditions / Allergies / Medications - optional (tell us if any)
Current Team*
Tier 1/ AAATier 2/ AATier 2/ A/BHouse League
MitesYouth S/MYouth L/XLAdult SAdult MAdult LAdult XL
Camp Payment Instructions (Required)

Camp Fee:

📍 Early Bird (through April 1): $375

📍 Standard Registration: $425

📍 Sibling Discount: $25 off per additional sibling (regular rate only)

How to pay:

➡️ Send payment via Venmo to: 👉 Firsov Hockey Academy.

➡️ Include the Player’s Full Name in the Venmo payment note

⚠️ Your spot is NOT confirmed until payment is received.

Please upload proof of payment (screenshot) below.
Upload screenshot of payment confirmation *

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Additional Comments
CAMP TERMS & CONDITIONS

I understand that participation in hockey training involves inherent risks of injury. I voluntarily assume all risks associated with participation.

I certify that my child is physically fit to participate and has no medical conditions that would prevent safe involvement.

I agree that Firsov Hockey Academy and its staff shall not be held liable for injuries, losses, or damages arising from participation in the camp.

I understand that registration is not confirmed until payment is received.
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Firsov Summer Hockey Development Camp