BP Hockey College Clinic Registration
Complete the following form and waiver to register for the December 9th BP College Hockey Clinic powered by Xplosive Sports Academy.
December 9, 2018
$85 - mail in payment or pay on the 9th (cash, check or money order)
Send payments to: Xplosive, PO Box 732, Mt. Laurel, NJ 08054
Fulcrum Sportsplex (formerly Pinelands Sports Center), 3 Coleman Court, Southampton, NJ 08088
Questions? Email us at xplosivesportsacademy@gmail.com or call/text us at 609-254-5135
First Name *
Your answer
Last Name *
Your answer
School *
Your answer
Date of Birth *
Age Group *
Players age as of 12/9/18. An athlete who is 14 on 12/9 would be considered U16.
Position *
Home Address *
Your answer
City *
Your answer
Your answer
Zip Code *
Your answer
Email Address *
Your answer
Emergency Contact Phone Number
Your answer
By checking agree, I hereby authorize the directors of Xplosive Sports Academy to act for me in their best judgment in all activities and any emergency medical situation including transporting and medically treating. I will not hold Xplosive/BP College liable for any injury that may result from participation. I consent to the use of photographs, videos, voice recordings, in whole or in part, of the above athlete for the purposes of advertising, publications, social media or the website.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service