Contact Information for A21 Camper
Please complete this form for each Camper you are sending to the A21 Academy Prep Hockey PD Day Camp.
Email address *
Parent/Guardian Name *
Parent/Guardian Email *
Parent Emergency Contact Cell Phone Number *
Camper Name *
Camper Birth Year (YYYY) *
Camper Current Hockey Team *
Camper Hockey Position *
Camper Info - Any Medical Issues A21 Should Know About? (Allergies, Conditions...etc) *
A copy of your responses will be emailed to the address you provided.
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