4on4_register
Player's Name
*
First Name
Last Name
DOB
*
Please Select
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
Position
*
Please Select
Defense
Forward
Goalie
Town/City
*
(do not use commas)
Telephone
*
Format: (000) 000-0000.
E-mail address
*
Medical information
(do not use commas)
Waiver terms and refund policy approval
*
WAIVER CLAIM - Acknowledging that there is a risk associated with participation in any sport, I, the legal parent or guardian of the participant, agree that OVERTIME Hockey Company Inc, its agents, servants, employees, and consultants will not be responsible for any accident, damage, injury or loss, however caused, negligent or otherwise, at any time and expressly release any and all of the aforementioned parties from all claims arising from any accident, damage, injury, or loss or as a consequence thereof. I understand that my said agreement, release and discharge, shall bind my heirs, legal representatives and assigns and shall inure to the benefit of OVERTIME Hockey Company Inc, its agents, servants, and consultants and their successors and assigns. I acknowledge that OVERTIME Hockey Company Inc strongly recommends that my son/daughter have a physical examination by a doctor to ensure he/she is in good health and fully physically able to participate in the vigorous activity of ice hockey. In the event that my son/daughter is injured during the operation of OVERTIME Hockey Company Inc programs, I give my permission for transportation as needed to a medical practitioner / facility at my expense. I agree that all photographs acquired during the operation of the league become the property of OVERTIME Hockey Company Inc and may be used for promotional purposes. REFUND POLICY Only in the event of uncontrollable circumstances that prohibit a player from continuing in OVERTIME Hockey Company programs (e.g., a season-ending injury, moving to a new location, etc.) will a refund be provided. The refund will consist of a pro-rated portion of the registration fee (minus an administrative fee) following notification of the Director.
*
Yes, I have read the Waiver Terms and Refund Policy and agree to their terms.
Parent Name
*
First Name
Last Name
My Products
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ELITE CAMP #1
$225.00 CAD
$
225.00
CAD
JUNE 29 - JULY 3
ELITE CAMP #2
$225.00 CAD
$
225.00
CAD
AUG 17 - AUG 21
ELITE CAMP #3
$225.00 CAD
$
225.00
CAD
AUG 24 - AUG 28
Enter coupon
Apply
Subtotal
$0.00 CAD
$
0.00
CAD
Tax
$0.00 CAD
$
0.00
CAD
Total
$0.00 CAD
$
0.00
CAD
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Month
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February
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Expiration Month
Expiration Year
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Expiration Year
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