SUMMER CAMP REGISTRATION FORM
Email address *
2020 RSG Goaltending Summer Camp
August 24th – 28th, 2020 (Monday to Friday)
Glacier Arena, Mount Pearl
Goaltender's Full Name *
Your answer
Goaltender's Date of Birth *
MM
/
DD
/
YYYY
Division Goaltender will be entering in 2020/21 *
Goaltender's MCP Number *
Your answer
Relevant Medical Information / Allergies
Your answer
Gender *
Parent's Full Name *
Your answer
Cell Phone No. *
Your answer
Street Address 1 *
Your answer
Street Address 2
Your answer
City *
Your answer
Postal Code *
Your answer
Jersey Size *
Approximate; we will do our best to accommodate sizes at the start of the program.
Required
Selected Program *
Note that there are only a limited number of spaces available. Completion of this registration form does not necessarily guarantee a spot in the camp. After review of your registration form, RSG will confirm your total registration cost by email. Payments can then be made by cash, cheque or email money transfer. Spaces will be confirmed after payment in full has been received.
Pre-Camp Major Injury / Illness Insurance
RSG offers you the option to purchase pre-camp major injury/illness insurance when you register for $50 which will entitle you to a full refund if your goaltender has a major injury or illness prior to camp starting and is unable to attend. A doctor’s note is required and no refunds are given once camp has started. No refunds are given if insurance is not purchased since we will likely be unable to fill the space on short notice.
Referral Program
If you are a first time client and we were recommended to you by someone, please indicate referrer's name:
Your answer
*
The owners, management, and staff of RSG Goaltending Inc. DO NOT accept responsibility for injury, loss, damage, or accident, either to person or to property, incurred by anyone during the operation of the hockey programs/camps and the above identified parent or guardian hereby agrees to release, indemnify and save harmless RSG Goaltending Inc. against any and all loss, costs, expenses, claims, demands, and suits whatsoever on account or in respect of any such injury, loss, damage, or accident. Consent: I, the above identified parent or guardian/participant, do hereby grant authority to the staff at RSG Goaltending Inc. to render a judgement concerning medical assistance or hospital care in the event of an accident or illness during my absence. I do also hereby authorize RSG Goaltending Inc. and its assigns to utilize any and all photographs, pictures or other likeness of me or anyone assigned guardianship to me, as they deem appropriate in its promotional materials.
Required
A copy of your responses will be emailed to the address you provided.
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