2019 Summer Hockey School (open to boys and girls aged 2002 to 2010)

Value Priced at $495.00

$425.00 for “Early Enrollment"

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 or take a photo and Text Message it to:   (613) 608-4939. Our office will contact you to confirm your registration and finalise payment.

Liability Waiver

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:   _________________