Horse Lake Hockey School

DATES & FEES
REGISTRATION FORM
INSTRUCTORS
THE SCHOOL
HOME

For Additional Information

Phone: 780-356-2219
Mail:
Horse Lake Hockey School
Box 303
Hythe, AB
T0H 2C0
Fax: 780-356-2269
Email: Click Here

Hockey & Goalie School - Winfield, BC
(Nighttime Goalie School)
July 11-15, 2005
July 18-27, 2005

Student Name:

-3 hours ice time per day

-Powerskating and off ice dry land training each day

-Free jersey

-Sign up early for a chance to win 3 pairs of skates and gloves from Rebellion Hockey

Hockey School: $395
Goalie School : $395

Parent/Guardian :

Address:

City:

Prov./State:

Country:

Postal/Zip Code:

Email:

Home:

Business:

Health Card Number:

Fax:

Birth date:

/ /

Allergies/Medical Conditions:

Male: Female:

Weight: Height:

Current Level:

Medications:

Current Division:

Position Played:

Program
Hockey School
Goalie School

Jersey Size: YSM YM YL MM ML MXL

Method of Payment: Visa MasterCard Cheque (CDN Only) Money Order (CDN Only)
Credit Card Number: - - - expiry date: /
Cardholder Name:

Please Read & Agree To This Waiver

You as the guardian of the registered participant, who will be participating
in activites of the Horse Lake/Hockey Futures Programs, agree that Hockey
Future, it's instructors and/or it's proprietors will not be held responsible for
any injury or loss however caused and agree to release Hockey Future, it's
instructors and/or its proprietors from any claims, which may result of, or by
reason of such injuries, accidents or loss and are aware of the refund and
cancellation policy.
Payments must be made in full prior to the registered participant, engaging
in the Hockey Futures programs.
There will be no refunds for any reason, unless the program in cancelled by the
Hockey Futures administrator.

I Agree I Do Not Agree