Moose Jaw Warriors - 6
MOOSE JAW WARRIORS P.O. Box 74 Moose Jaw, SK S6H 4N7 P: (306) 694-5711 F: (306) 692-7833
www.mjwarriors.com
MOOSE JAW WARRIORS HOCKEY CAMP REGISTRATION Last Name:
First Name:
Address: City:
Province:
Postal Code:
Email Address:
Parent’s Names:
Evening Telephone No.:
Daytime Telephone No.:
Cell Phone:
Birth Date (M/D/Y)
Age Group (checkmark): 6 - 8
9 - 11
12 - 14
Age Conditioning Camp
If Conditioning Camp name last years Team and Level Sex: Male
Female
Position:
Weight:
Goalie
Defense
Have you played league hockey with Full Body Contact:
Height:
Forward
Yes /No
COST OF PROGRAM Kids Camp - August 11th – 15th $320.00 (GST INCLUDED) KIDS CAMP BENEFITS: - 2 ½ hours ice time each day - Receive camp jersey
- Head Instructor: Warriors AC Mark O’Leary, plus current/alumni Warriors - 1 Adult & 1 Child or Student Ticket to Warriors regular season game
Please remit payment in full with application. Payment non-refundable after July 2nd, 2014. Payment Method Cheque Money Order Visa/Mastercard Debit Credit Card #
Expiry:
Camp registration is limited in each age group and is on a first come, first serve basis.
MOOSE JAW WARRIORS – Join the Journey
www.mjwarriors.com
MOOSE JAW WARRIORS HOCKEY CAMP REGISTRATION Last Name:
First Name:
Address: City:
Province:
Postal Code:
Email Address:
Parent’s Names:
Evening Telephone No.:
Daytime Telephone No.:
Cell Phone:
Birth Date (M/D/Y)
Age Group (checkmark): 6 - 8
9 - 11
12 - 14
Age Conditioning Camp
If Conditioning Camp name last years Team and Level Sex: Male
Female
Position:
Weight:
Goalie
Defense
Have you played league hockey with Full Body Contact:
Height:
Forward
Yes /No
COST OF PROGRAM Kids Camp - August 11th – 15th $320.00 (GST INCLUDED) KIDS CAMP BENEFITS: - 2 ½ hours ice time each day - Receive camp jersey
- Head Instructor: Warriors AC Mark O’Leary, plus current/alumni Warriors - 1 Adult & 1 Child or Student Ticket to Warriors regular season game
Please remit payment in full with application. Payment non-refundable after July 2nd, 2014. Payment Method Cheque Money Order Visa/Mastercard Debit Credit Card #
Expiry:
Camp registration is limited in each age group and is on a first come, first serve basis.
MOOSE JAW WARRIORS – Join the Journey
