KD Elite Winter Performance Camp Registration

KD Elite Winter Performance Camp Registration

Enter parent/guardian details, player information, choose your registration option, and review the required consents to submit.
Parent or Guardian Information
Parent or Guardian Full Name

First NameMiddle NameLast Name
Email Address
example@example.com
Mobile Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Player Information
Player Full Name

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Birth Year
Current Club or Academy
Current Team and Playing Level
Primary Playing Position
Secondary Playing Position
Relevant Medical Conditions, Allergies, Injuries, or Medications
Additional Information for KD Elite Coaches
Registration Option

Full Three Day Camp

$150.00 CAD Quantity

Single Day Registration

$65.00 CAD Quantity

Subtotal

Tax

Total

Select Single-Day Dates (If Not Full Registration)
Emergency Contact
Emergency Contact Full Name

First NameLast Name
Relationship to Player
Emergency Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Agreements
Participation and Conduct
Medical Authorization
Liability Waiver
Weather and Field Closure Policy
Cancellation and Refund Policy
Media Consent
Confirmation
Typed Signature of Parent/Guardian
Should be Empty: