Strathcona Paper Centre Arena, July 15-19, 2019
Registration Form - Please mark the session you would like to enroll
Session A (House League Development)_ _____ Session B (Rep "A" to "AAA")__________
Player’s Name: ______________________________________________ Date of Birth: _____________________
Parents Names: ______________________________________________________________________________
Home Phone:_______________________________ Cell Phone: _____________________________________
Email Address: _______________________________________________________________________________
Early Enrollment $425.00 per Player by May 1st, 2019
(Each application must be accompanied by a $100.00 down payment or Full Payment.)
Please complete the Registration Form, and send a copy by email to Wayne Smith firstname.lastname@example.org or take a photo and Text Message it to: (613) 608-4939. Our office will contact you to confirm your registration and finalise payment.
The applicant agrees that the North Americans Select Hockey Programs Inc. and or, their proprietors will not be held responsible for any accident or loss, however caused, and agrees to release the proprietors from the result of or because of such accident or loss. North American Select Hockey Programs Inc. reserves the right to use any pictures taken during training sessions or games for Advertising and or Instructional purposes.
Parent / Guardian: ___________________________________________________Date: _________________