Strictly Hockey Registration Form
Desired Session *
Required
Session Date
MM
/
DD
/
YYYY
Session Location
Your answer
Player Name *
Your answer
Player Address *
Your answer
Phone Number *
Your answer
Cell Number
Your answer
EMail Address *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Current Team and Level
Your answer
Position
Does the participant have any health issues that Strictly Hockey should be aware of? *
If yes, please explain:
Your answer
Acknowledgement *
By signing you also acknowledge and agree to our Refund and Waiver Policies as outlined on the Registration Information Page.
Required
Payments
Please make your cheque payable to:
Pounder Kellar Enterprises
4164 Bianca Forest Dr
Bianca Forest Dr.
Burlington, ON L7M 4L5

On your cheque payment, please write the name of the participant in the note section.
Waiver
IMPORTANT POLICY INFORMATION REGARDING REFUNDS AND WAIVERS!

Refunds
Please Note: Refunds will be made up until 2 weeks before the beginning of a camp/ clinic, subject to a $25.00 administration charge. Cancellations made after that point will be credited to enrollment in the school for the 2020 sessions or subsequent clinics.

Waiver
I give my approval to my child’s participation in all activities of the STRICTLY HOCKEY Hockey School and agree that STRICTLY HOCKEY, its owners and employees will not be responsible for any damage or accident (medical or dental) incurred while participating. I do waive, release, absolve and agree to hold harmless STRICTLY HOCKEY, its owners, employees and volunteers in such instances. I hereby acknowledge that I have read the terms and conditions and certify that the applicant(s) is in good physical health.

*** When signing the complete registration form, and upon registration in the STRICTLY HOCKEY Hockey School, you have read and accepted the terms and conditions of the Refund policy and waiver. ***
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