Registration Form - SAHS 2012

Name

Parent's Names

Address

City

Province/State

Postal Code

Phone

Emergency Phone

Care Card #

Date of Birth

Height

Weight

Shoots

Male/Female

Position

Years played

Division Played

House/Rep

CreditCard #

Expiry

SELECT YOUR PREFERRED SESSION (prices do not include HST)			Regular	Early-Bird
	Spring Hockey	March & April 2012	$150	N/A
	3 on 3 Skills and Conditioning	July 24-Aug 23	$249	N/A
	O.R. Sports Goalie School	July 30-Aug 1	$599	N/A
	Shoot to Score	July 30-Aug 3	$190	$170
	Defencemen School	Aug 6-10	$370	$350
	Elite Prep Rep School	Aug 13-17	$380	N/A
	Skate and Skills	Aug 13-17	$350	$330
	Fundamental Skills	Aug 13-17	$140	N/A
	Skate and Skills	Aug 20-24	$350	$330
	Fundamental Skills	Aug 20-24	$140	N/A
	Pre-Season Conditioning	Aug 27-Aug 30	$150	N/A

Subtotal ____________

If applicable, subtract SAMHA 10% discount ____________

Add 12% HST ____________

Total payment due ____________

PLEASE READ CAREFULLY AND SIGN
In consideration of the participant and his/her parent being permitted to register the participant in the SALMON ARM HOCKEY SCHOOL camps, we do hereby forever release and discharge the SALMON ARM HOCKEY SCHOOL, its directors, agents employees and any person or corporation connected herewith from all manner of action, injury, damages, cost, claims or demands which we shall or may hereafter have, suffer or receive by reason of such participation in programs of the schools. This release shall be binding upon our heirs, assigns, executors and administrators. It is further agreed that SALMON ARM HOCKEY SCHOOL CAMPS do not and shall not be considered to guarantee or warrant such equipment as may be used in the conducting of said school. ’ SALMON ARM HOCKEY SCHOOL GROUP reserves the right to use any pictures taken during the camps for advertising and/or instructional purposes. The Salmon Arm Hockey School is not responsible for lost or stolen items

SIGNED

SPECIAL NOTE A deposit of $100.00 must accompany your registration and all outstanding fees must be paid by July 1 of the current year. All refunds minus $50 will be paid up to July 1 of the current year. Your cancelled cheque or your Visa statement is your confirmation. You will be notified if a particular camp is full. A schedule for the week will be sent to you in July. We reserve the right to re-schedule or re- group according to enrollment and ability.