Player Name:
Age:
Birth Date: (mm/dd/yyyy)
Parent First Name:
Parent Last Name:
Address:
City:
State: AL IL NJ NY PA
Zip Code:
Home Tel: (no dashes)
Email:
Hockey Exp (yrs):
Position: Forward Defense Goalie
Jersey Size: Youth XL Adult S Adult M Adult L Adult XL Adult XXL
'11-'12 Team:
Emergency Contact Name:
Emergency Contact Relation:
Emergency Tel: (no dashes)
All goaltenders are half price for clinics and camps. Jerseys are included for all camps. Socks and Jerseys are included for all tournaments.
Registration is on a first come, first serve basis and is limited10 for all camps. Cancellations prior to May 16th are subject to a $75 administrative fee. Cancellations after May 16, 2012 will be charged 50% of the coarse fee. No refunds or make-ups for cancellations made 4 weeks or less prior to session. EHS reserves the right to cancel or change programs.
Due at registration, 100% of total tuition for clinics, 50% of total tuition for camps (remainder due by 5/16/12)
I agree that I shall provide health insurance to cover my personal injury and property damage sustained by the student while participating in any activities or while on the premises of Noel Rubin’s European Hockey School and Mennen Sports Arena. I hereby release and forever discharge Noel Rubin, Mennen Sports Arena and Staff from all damages, causes of action, suit or liabilities or personal injury or property damage which, I or my child, as a student may have as a result of participating in the program.
