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July 8-12 @ Rocket Ice Rink
/ July 8-12 @ Rocket Ice Rink Bantam-Midget-High School (Morning Group)
July 8-12 @ Rocket Ice Rink Bantam-Midget-High School (Morning Group)
$
120.00
/ month
9:00-9:50 am: Workout @ rink
10:10-11:10 am: On Ice Session
Waiting List Form for July 8-12 @ Rocket Ice Rink | Bantam-Midget-High School Session (Morning Session)
Parent Info
Parent's Name
*
First
Primary Email
*
Phone Number
*
Goalie Info
Goalie's Name
*
First
Goalie’s Email (optional)
Date of Birth
*
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Last organization played for
*
Level to Play in Fall 2024
*
Select from dropdown
1st year mite
2nd year mite
1st year squirt
2nd year squirt
1st year pee wee
2nd year pee wee
1st year bantam
2nd year bantam
Midget Minor
Midget Major
High School
Juniors
College
T-Shirt Size
*
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Jersey Size
*
*same company we used 2019, please review jersey size from last year and make the proper selection. Recommendations in parenthesis
Youth L/XL (mites)
Adult L/XL (sq/peewee)
Adult XXL (bantam/midget)
Goalie (wearing XL chest protector, fits wider in arms)
Allergies or Medical Condition
Hold Harmless Electronic Signature:
*
PLEASE READ AND CHECK – I acknowledge that the sport of ice hockey is dangerous, and knowing this, I, and the above named participant, willingly participate in all activities required by MIDWEST GOALIE SCHOOL LLC. I release all employees of MIDWEST GOALIE SCHOOL LLC, and all host rink employees, from responsibility for any injuries that may be incurred against the above named student, on or off the ice in any circumstances related to the above’s attendance at MIDWEST GOALIE SCHOOL. Further, I assume responsibility for the security of all of my possessions including but not limited to hockey equipment, money, or any other valuables. Camp attendees understand that in any activity involving a publicly accessible place and involving other people, there is a risk of exposure to bacteria, viruses, or other communicable diseases (including, without limitation, risks associated with COVID-19), toxins, parasites, or other adverse health factors. Attendees assume the risk of exposure when they attend a camp.
I agree to the above statement
Comments
This field is for validation purposes and should be left unchanged.
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July 8-12 @ Rocket Ice Rink
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