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
Please note: The Hockey Camp fee is non-refundable after the closing date has passed.

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.
Please complete the captcha before submitting the form.
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