Ice Hockey Program
5 to 7 years. 2 days per week.
With Covid safety measures in place if required.
Mondays and Wednesdays 3:45 - 4:45pm October 2022 - March 2023
Fees: $315.00 $20 Non-refundable deposit due at registration for each participant. Balance due September //, 2022.
Address Please enter address Postal Code Please enter postal code
Email Please enter email address Home Phone Please enter home phone number Cellphone Please enter cellphone number
Emergency Contact Please enter information... Phone Please enter phone number
Doctor’s Name Please enter information... Phone Please enter phone number
Any health problems/allergies? Please enter information...
MEDICAL WAIVER: this certifies that Please enter participants name Is in good health and is fully capable of participating.
Please check... I have read and will follow the College Heights COVID Safety Procedures. Please check... My child can skate the length of the rink.
Please check... Yes, I can help. Please contact me to help with coaching.
In this program. I agree that sponsoring bodies shall not be liable for any injury that may occur while participating in this program.
Parent or Guardian Electronic Signature Please check... Parent or Guardian Name Please enter parent/guardian name Date (YYYY-MM-DD) Please enter date
Please check... I will send an e-transfer payable to email@example.com within 24 hours of registering for this program or forfeit my registration. If unable to use e-transfer will email Jean at firstname.lastname@example.org to make other payment options.
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