2026 Spring Camp Registration

2026 Spring Camp Registration
Player Specific Information

Please complete all fields
Player Name*

First NameMiddle NameLast Name
Player Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Birthdate*

MonthDayYear
Date
CentreLeft WingRight WingDefenseGoalie
LeftRight
Last Year's Team*
Level*
T-Shirt Size*
General Information
Parent Contact*

First NameLast Name
Parent Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Parent Email*
example@example.com
Street & Mailing Address*

Street Address

PO BOX (if applicable)

CityState / Province

Postal / Zip Code
Player Medical Information
Medical Number*
Emergency Contact Name*

First NameLast Name
Emergency Contact Number*
Please enter a valid phone number.Format: (000) 000-0000.
Any medical/allergies/precautions we should know about?
YesNo
I (we) the undersigned being parents or guardians of First Name Last Name accept the terms of registration and agree that the staff, coach's, instructors, along with the ice arena and its employees are not liable for, nor held responsible for any accident or loss, however caused and agree to release same from all claims or damages. We further agree that the applicant has no medical problems and is in good physical/mental health. We will be responsible for all medical, and dental claims or insurance. It is further agreed the Swan Valley Stampeders and Arena staff are not responsible for any lost personal belongings and or hockey equipment.
Date Signature*