2017 Hockey Camp Registration Form

Cost: $330.00per person - final payment date May 19th

Registration closes 19th May.

All ages welcome

Start date: July 9th 2017 - End Date: July 12th 2017

Camp Times: 9am - 4pm

Participants will receive Camp shirt, Morning tea, Lunch and Afternoon tea

Link to Instructors Information Poster: https://goo.gl/uiuRMO

Link to Hockey Camp Poster: https://goo.gl/bznHfT

Any Questions please email: rinkmanager@hamiltondevils.co.nz

Hamilton Inline Hockey Club
Eastlink Sports Centre
30 Old Farm Road
Hamilton East

Please make payment to: bank account 020316 0041458 00 and use your surname and "HC 2017" as a reference

Email address
Parent/Guardian name.
Your answer
Full Name
Your answer
Current Address
Your answer
Mobile Phone Number
Your answer
Age as at January 1st
Your answer
Current Club or School Team
Your answer
Injury status: (Provide if there is any injuries current or reoccurring)
Your answer
Medical Conditions. (Is there any medication that we need to be aware of?)
Your answer
Food Allergies? or Dietary Needs?
Your answer
Shoots
Position played
Jersey Size?
1st Choice of player jersey number
Your answer
2nd Choice of player jersey number (if 1st choice is taken)
Your answer
I agree to abide by the terms and conditions of the club.
A copy of your responses will be emailed to the address you provided.
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