Ball Hockey Program

This is an instructional league for special needs children between the ages of 8 to 25yrs. The league is open to both boys and girls. Qualified hockey coaches and volunteers will work with your child to gain ball hockey skills while encouraging them to have fun and make new friends.

This program is ideal for participants with special needs looking for a fun/safe environment to play a sport.

Dates:  Wednesday April 25 - June 13, 2018
Location: Eastview Arena - 453 Grove St E Barrie (will run at Lampman Lane Gym on May 30 & June 6)
Time: 6-7pm
Cost:  $60/participant
Ages: 8 - 25 yrs
Players are required to have a CSA approved helmet, gloves and a stick that does not have a wooden base.  Shin pads are recommended.

Sign in to Google to save your progress. Learn more
Email *
Child's First Name *
Child's Last Name
Child's DOB (MM/DD/YYYY) *
MM
/
DD
/
YYYY
Parent/Guardian First & Last Name *
Contact Phone Number *
Mailing Address *
I acknowledge and understand that supervision of children/youth is the sole responsibility of parents/guardians and caregivers and release Autism Ontario, its employees, officers, director and agents from all claims arising from any accident, death or injury which is caused by or arises from participation in any Autism Ontario event. *
It is recommended that you (the participant) consult with your physician prior to the start of any physical activity.  By registering for or participating in an Autism Ontario program or event, the participant agrees that the participant is and will be voluntarily participating in these activities and the participant assumes all risks of injury or death, which might result from these activities. *
Please list any medical or behavioural information our coaches need to be aware of (those requiring 1:1 assistance need to be accompanied by a caretaker)
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms