Rink Rat Resort 2015 Registration form
Sign in to Google to save your progress. Learn more
Please fill in the appropriate boxes. *
Remember, you are signing up the the age group and level you will be playing in the Fall.
Which Session will you be attending? *
Player check in for camp is 5:30-6 pm on Friday.  Check out time is Noon on Sunday.
Required
What position do you play? *
What level do you expect to play for the 2015-2016 season? *
Birth date *
XX/XX/XXXX
Player First Name *
Player Last name *
Player Street Address *
City and zip code *
Phone number *
Emergency Contact number *
Email Address *
Emergency Contact name and relationship to participant *
Please List any allergies, food or otherwise and any other concerns you may have. *
Release of Liability:                                                                                                                                                                                                                                                                                                     *
Initial here.The participant and I the parent/guardian agree that Lakeshore Sports Centre, it's instructors, counselors, and all employees will not be held responsible and are not liable for any injury, damage, or loss however caused resulting directly or indirectly from participation in Holiday Hockey camps.  Whether incurred on ice or otherwise in or about the buildings at any time preceding, during or subsequent to the delivery of the instructional program.
I have read all the above information and filled out this form to the best of my knowledge-initial here *
Questions about Rink Rat Hockey camp?   231-739-9423
You can email us at  usrinkrat@yahoo.com

Where do I send payment?
Checks are to be made out to Tim Olson, and mailed to 4470 Airline Road, Muskegon Michigan 49444

Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms