2024 Summer Camp Registration Request Form

2024 Summer Camp Registration Request Form

Once registration is confirmed, exact times and rink locations will be provided. Full payment due upon camp registration confirmation
Player Name:*

First NameLast Name
Player Date of Birth:*

MonthDayYear
Date
Current Age Group:*
Player Phone Number:*
Please enter a valid phone number.
Player Email:*
example@example.com
Parent/Guardian Name/Emergency Contact:*

First NameLast Name
Parent/Guardian/Emergency Contact Phone Number:*
Please enter a valid phone number.
Parent/Guardian Email:*
example@example.com
Camp Location*
2024 Edmonton Camp Dates (see website for exact schedule)*

Defence Specific Camp June 7th-9th 2024July 8th to 18th 2024August 6th to 15th
2024 Lloydminster Camp Dates (see website for exact schedule)*

July 2nd 2024 to July 5thJuly 22nd 2024 to July 25th 2024August 26th 2024 to August 29th 2024
2024 Leduc Camp Dates (see website for exact schedule)*

August 19th to August 23rd 2024
What size of Jersey?*
Please provide any relevant medical information:
Current Team Name:
Have you done a Making Stridz Summer Camp before?

YesNo
Should be Empty: