Name of Athlete *

First Name

Last Name

Athlete's Phone *

(###)

###

####

Gender *

Male

Female

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name of Parent/Guardian 1

First Name

Last Name

Parents/Guardian 1 Phone *

(###)

###

####

Name of Parent/Guardian 2

First Name

Last Name

Parent/Guardian 2 Phone

(###)

###

####

Athlete's Date of Birth *

MM

DD

YYYY

Which session will the athlete be attending? *

*Week 1 (BOYS ONLY): June 30-July 5 *Week 2 (BOYS ONLY): July 7-12 *Week 3 (GIRLS ONLY CAMP): July 14-19 *Wknd (ADULT ONLY CAMP): July 19-21

Week 1 (skater): Age 9-11

Week 1 (skater): Age 12-13

Week 1 (skater): Age 14-16

Week 1 (goalie): Age 9-11

Week 1 (goalie): Age 12-13

Week 1 (goalie): Age 14-16

Week 2 (skater): Age 9-11

Week 2 (skater): Age 12-13

Week 2 (skater): Age 14-16

Week 2 (goalie): Age 9-11

Week 2 (goalie): Age 12-13

Week 2 (goalie): Age 14-16

Week 3 (skater): Age 9-11

Week 3 (skater): Age 12-13

Week 3 (skater): Age 14-16

Week 3 (goalie): Age 12-13

Week 3 (goalie): Age 9-11

Week 3 (goalie): Age 14-16

Weekend Adult (skater) 25+

Weekend Adult (goalie) 25+

Position *

Check all that apply

Center

Left Wing

Right Wing

Left Defense

Right Defense

Goalie

Shooting Hand *

Right

Left

Shirt Size *

*Please note: The shirt size you choose will be the given size, and there may not be enough extras to substitute sizes.

Youth S

Youth M

Youth L

Youth XL

Adult XS

Adult S

Adult M

Adult L

Adult XL

Adult XXL

Shorts

Youth S

Youth M

Youth L

Youth XL

Adult S

Adult M

Adult L

Adult XL

Adult XXL

Emergency Contact

*Before choosing an emergency contact, please ensure they will be available while the athlete is at camp.

First Name

Last Name

Emergency Contact's Phone

(###)

###

####