Skater / Goalie High School / Bantam / Girls
____________________________________ Player’s Name
Skater / Goalie
High School / Bantam / Girls
Circle one
Circle One
______________________________________________________
____________________
Address
Telephone
_____________________________________
__________________________________
Parents Name
Payment:
Parents Signature
$375.00
Per Player
For families with multiple players in the camp you can deduct $50.00 per sibling. For example, if you have two players enrolling in the camp you would pay $375.00 for player one and only $325.00 for player two for a total of $700.00. Continue to deduct $50.00 for each additional sibling enrolled. Deadline May 15th (Please contact Coach Andrews if you have extenuating circumstances) Checks Payable to:
Patrick Andrews
Send Registration to:
Patrick Andrews phone: 218-464-8116 c/o Hawks S3 Camp [email protected] 5416 W. Arrowhead Rd. Hermantown MN 55811 General Release Form Statement of Understanding & Release of Liability
By singing below, I hereby authorize Patrick Andrews / Hawks S3 Camp and his employees to act for me, my child (name) _______________________________ or guest in an emergency and hereby release and agree to indemnify Patrick Andrews / Hawks S3 Camp, their coaches and their employees, and other participants from any liability for any injuries or illness, losses, or damages sustained while I, the above minor, or guest involved or participating in any activities provided by Patrick Andrews / Hawks S3 hockey and physical training sessions. I further understand that attending a program of this kind can involve risk of injury. I accept full responsibility for my and the above mentioned participants medical bills, if any, and all other associated expenses as a result of injuries or illness sustained while any of the said persons are in attendance. The above mentioned person is attending this program at his/her own risk. ________________________________ Parent/Guardian Name
__________________________ __ Parent/Guardian Signature
___________ Date
Please complete this form and return with the payment to the address above, you need one registration form per player. You must return this sheet, no player will be allowed on the ice without this sheet and their payment. All players are expected to be properly dressed with full equipment per the USA Hockey rulebook for all on-ice skating. All athletes are expected to dress in cool, comfortable, work out clothing for all off-ice training. Cut off shirts, baggy clothing and non-athletic shoes are not acceptable.
Skater / Goalie
High School / Bantam / Girls
Circle one
Circle One
______________________________________________________
____________________
Address
Telephone
_____________________________________
__________________________________
Parents Name
Payment:
Parents Signature
$375.00
Per Player
For families with multiple players in the camp you can deduct $50.00 per sibling. For example, if you have two players enrolling in the camp you would pay $375.00 for player one and only $325.00 for player two for a total of $700.00. Continue to deduct $50.00 for each additional sibling enrolled. Deadline May 15th (Please contact Coach Andrews if you have extenuating circumstances) Checks Payable to:
Patrick Andrews
Send Registration to:
Patrick Andrews phone: 218-464-8116 c/o Hawks S3 Camp [email protected] 5416 W. Arrowhead Rd. Hermantown MN 55811 General Release Form Statement of Understanding & Release of Liability
By singing below, I hereby authorize Patrick Andrews / Hawks S3 Camp and his employees to act for me, my child (name) _______________________________ or guest in an emergency and hereby release and agree to indemnify Patrick Andrews / Hawks S3 Camp, their coaches and their employees, and other participants from any liability for any injuries or illness, losses, or damages sustained while I, the above minor, or guest involved or participating in any activities provided by Patrick Andrews / Hawks S3 hockey and physical training sessions. I further understand that attending a program of this kind can involve risk of injury. I accept full responsibility for my and the above mentioned participants medical bills, if any, and all other associated expenses as a result of injuries or illness sustained while any of the said persons are in attendance. The above mentioned person is attending this program at his/her own risk. ________________________________ Parent/Guardian Name
__________________________ __ Parent/Guardian Signature
___________ Date
Please complete this form and return with the payment to the address above, you need one registration form per player. You must return this sheet, no player will be allowed on the ice without this sheet and their payment. All players are expected to be properly dressed with full equipment per the USA Hockey rulebook for all on-ice skating. All athletes are expected to dress in cool, comfortable, work out clothing for all off-ice training. Cut off shirts, baggy clothing and non-athletic shoes are not acceptable.
