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Top Prospects Hockey School 2019 - Lucan
AUGUST 12-16 (LUCAN ARENA) - Please complete a form for each participant . Confirmation will be emailed upon payment of deposit. Deposit is required to secure your spot.
Players First & Last Name *
Your answer
Current Age *
Player Birthdate *
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Gender *
Parent(s) Name(s) *
Your answer
Parent(s) Email *
Your answer
Address *
Your answer
City *
Your answer
Postal Code *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Health Card Number
Your answer
Allergies
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Position *
Level of Play *
Hockey Jersey Size *
T-Shirt Size *
Method of Payment *
Terms & Conditons *
RELEASE OF LIABILITY The participant and parents acknowledge and agree that TOP PROSPECTS HOCKEY SCHOOL or any of the principals, officers, employees, agents, directors, or instructors will not be responsible for any accident, damage, injury or loss, however caused, negligent or otherwise, at any time and expressly releases any and all the aforementioned parties from all claims arising from any accident, damage, injury or loss or as a consequence thereof. The undersigned parent or guardian hereby certifies that the applicant has been recently examined by a doctor, is in good health and fully physically able to participate in all the vigorous activities of the school. In the event of injury or illness, the hockey school has my permission to obtain medical care for which I agree to be responsible.
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