Prep Camp Waiver, injury/health/dietary form
Please enter your provincial health number. Out of province and international players please enter your Insurance carrier and policy number.

Waiver:
*LIABILITY RELEASE :* In consideration of the participant and his/her guardian being permitted to register said participant in the West Coast Hockey Prep Camp, we do hereby forever release and discharge the West Coast Hockey Prep Camp, Inc, camp directors, agents, employees and any person or corporation connected herewith, from all manners of action, causes of action, or choices of action, injury, damages, costs, claims, or demands which we shall or may hereafter have, suffer or receive by reason of such participation in West Coast Hockey Prep programs and activities, on-ice or off-ice. This release shall be binding on our heirs, assigns, executors and administrators. It is further agreed that West Coast Hockey Prep Camp, Inc. does not and shall not be considered to guarantee or warrant such equipment as may be used at the West Coast Hockey Prep Camp. It is also agreed that West Coast Hockey Prep Camp, Inc. is not responsible for lost or stolen personal articles or hockey equipment. West Coast Hockey Prep Camp, Inc. reserves the right to use any pictures and videos taken during its programs for advertising and/or instructional purposes. In addition, as the parent/guardian of this player, I consent to the distribution of his/her player profile information to various scouts and coaches associated with this camp. The West Coast Hockey Prep Camp reserves the right to substitute instructors.

*CANCELATION POLICY:* West Coast Hockey Prep Camp will not accept cancellations after May 31st. Credit for the following summer may be provided under special circumstances such as player injuries, etc. Cancelations before May 31st are subject to a $150 cancelation fee.

I agree to the terms above *
Required
Player last name *
Your answer
Player first name *
Your answer
Guardian Name filling out form *
Your answer
Week: (click all that apply) *
Required
Home province or foreign country *
Your answer
Health card number or Policy number *
Your answer
Insurance Company
International and non BC residents only
Your answer
Medical History, medications, allergies, dietary requirements
Is there anything our trainers or catering team should know?
Your answer
Sport Injury History
Is there anything our trainers should know?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Leslie Global Sports. Report Abuse - Terms of Service - Additional Terms