Standard YOUNGER Camp A – Rocket Ice Arena – WAITING LIST

Standard YOUNGER Camp A – Rocket Ice has SOLD OUT!

Parent's Name*
First Last
Parent's Email*
Parent's Phone*
What level will you goalie be playing Fall 2018?*
Goalie's Name*
First Last
Goalie's Date of Birth*
Which organization did your goalie last play for?*
Organization
T-shirt Size*
Jersey Size*
Any health constraints or medical conditions we should know about*
If none, write none.
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.
- I agree to the above statement
Comments
This field is for validation purposes and should be left unchanged.