2017 F1 Hockey Elite Summer Camp Registration Form

2017 F1 Hockey Elite Summer Camp Registration Players Name_____________________ Date of Birth____-____-______ Parents Name________________________ Phone_____-_____-______ Mailing Address_____________________________________________ Email Address_______________________________________________ CAMP SESSION YOU ARE REGISTERING FOR (check one) SQUIRT SESSION (2007 & 2008) June 12th-15th & July 10th-13th _____________ PEEWEE SESSION (2005 & 2006) June 19th-22nd & July 17th-20th_________ BANTAM SESSION (2003 & 2004) June 26th-29th & July 24th-27th ________

F1 Hockey Elite Summer Camp Fees Squirt/Peewee/Bantam Forwards & Defensemen $475.00_______ Squirt/Peewee/Bantam Goalies $225.00_______ Please make checks payable to F1 Hockey LLC and mail to: F1 Hockey LLC P.O. Box 853 Eau Claire, WI 54702-0853 I, the parent or guardian of the above named minor, hereby gives my approval for his/her participation in the F1 Hockey Elite Summer Camp. I assume all risks and hazards incidental to such participation and do hereby waive, release, absolve, indemnify, and agree to hold harmless F1Hockey LLC from any claim arising out of an injury to my son/daughter during their participation in the program.

___________________________ Parent/Legal Guardian Signature

_________________ Date

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