Pro Development Clinic 2020 (545pm)

Elliot Lake Vikings ID Camp

Ajax Community Center May 22-24 Registration at 3:30 pm
Full Name Player

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Players email address
example@example.com
Players cell phone number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Citizenship
Height
Weight
Position
Team/Level Played Last Season
Coach Last Season
Name of Advisor/contact number (if you have one)
Parent/Guardian Name

First NameLast Name
Parent/Guardian Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Additional Comments
Payment Method $300 (HST included) (Payments are final, no refunds)
Contact Head Coach/General Manager Taurean White with any questions. taurean.white@elliotlakevikings.com 613-608-7124
Should be Empty:

Elliot Lake Vikings ID Camp