PRO TECH HOCKEY ACADEMY 2019 MILTON REGISTRATION FORM
Please complete the information below.
Participant's Name *
Your answer
Parent's Name *
Your answer
Email Address *
Your answer
Contact Phone Number *
Your answer
Address *
Your answer
City *
Your answer
Province/State *
Your answer
Postal/Zip Code *
Your answer
Cell Phone Number
Your answer
Business Phone Number
Your answer
Emergency Phone Number (If different than above)
Your answer
Date of Birth (MM/DD/YYYY) *
MM
/
DD
/
YYYY
Gender *
Years Played
Your answer
Skill Level *
Position *
Team (Currently Playing For) *
Your answer
Sweater / Jersey Size *
SESSION *
Players to be separated on the ice into groups of similar age and or skill level.
TERMS AND CONDITIONS
REGISTRATION: All registrations for summer camps require a minimum 50% deposit, along with a postdated cheque for the remaining balance, payable 60 days to the start of camp, if full payment has not been received within 60 days prior to the start of camp, you will lose your deposit as well as your spot. Full payment is required upon registration for all other programs. Registrations will be accepted up to the start of programs, subject to availability. Make all checks payable to Pro Tech Hockey Academy Inc. Money orders and or cash are accepted. Registrations received without payment will automatically become void and invalid if proper payment is not received within 14 days, $40.00 charge for NSF checks.

CANCELLATIONS: All monies are non-refundable. Some exceptions may apply, you may receive a credit towards any future Pro Tech Hockey Academy Inc. programs within a year. No refunds, credits or make ups for missed portions of any program.

AGREEMENT & WAIVER: I, being the parent or legal guardian of the child hereon registered, do authorize by my signature below to permit Pro Tech Hockey Academy Inc and the employees thereof to seek out and obtain any necessary medical attention in the case of accident or injury during the program. it is further agreed that the operator of this hockey clinic, and or employees and instructors are released from any and all claims from damage that may arise from any accident injury, damage or loss which is caused by or arises from participation of the applicant hereon during the program or in any location where a program is to be held. I authorize the use of any photographs taken at any Pro Tech Hockey Academy Inc programs for advertising and instructional purposes. I have read and fully understand the terms and conditions of this waiver.
DO YOU AGREE TO THE ABOVE TERMS AND CONDITIONS? *
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