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Contact Information
   Last Name R
   First Name R
   Address
   City
   State / Prov
   Postal / Zip
   Home Phone R
       [ (555) 555-1234 ]
   Work Phone
       [ (555) 555-1234 ]
   Emergency Phone
       [ (555) 555-1234 ]
   E-Mail R
      [ you@yourdomain.com ]
Health Information
   Health Insurance # R
   Parent Names
   Medical History:  
(Max 500 Characters) Character Count 0  
   (conditions that may be aggravated)
   
   Note: A wavier must be signed before ice time will be granted!
Hockey Information
   Age
   Birth Date
      [ dd/mm/yyyy ]
   Skill Level
   Years Played
   Position
   Sweater Size R
      (Summer Camps Only)
Camp Selection
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Session
NOTE:  1. Details of Camp/Clinic are subject to change without notice.  2. A session will run based on the number of registrations and could be canceled if the number of participants do not meet requirements to run the specific session.  3. SCE reserves the right to refuse a registration if the individual does not meet the skill requirements for the selected camp or session.
TERMS AND CONDITIONS
Registration:
All registrations for summer camps require a minimum 50% deposit, along with a postdated check for the remaining balance, payable 60 days prior to the start of camp.

Full payment is required upon registration for all other programs. Registrations will be accepted up to the start of programs, subject to availability.

Please make all checks payable to SCE Hockey Inc.®.
Money orders and/or cash are also accepted.
Mail to:
      85 Shadeland Court
      Cambridge Ontario, Canada
      N1T 1V2

Registrations received without payment will automatically become void and invalid if proper payment is not received within 14 days, $25.00 charge for nsf checks.
Cancellations:
Prior to 60 days to start of summer camp, all monies are refundable with the exception of a $75.00 administration fee. Within 60 days to start of summer camp all monies are non-refundable with the exception of medical reasons. In this case only 50% will be refunded, or you can receive a credit towards any future SCE Hockey Inc.® programs within a year.

No refunds, credits or make ups available for missed portions of any programs.
Agreement & Waiver:
I, being the parent or legal guardian of the child hereon registered, do authorize by my signature below to permit SCE Hockey® and the employees thereof to seek out and obtain any necessary medical attention in the case of accident or injury during the program.

It is further agreed that the operator of this hockey clinic, and or employees and instructors are released from any and all claims from damage that may arise from any accident injury, damage or loss which is caused by or arises from participation of the applicant hereon during the program or in any location where a program is to be held.

I authorize the use of any photographs taken at any SCE Hockey Inc.® programs for advertising and instructional purposes. I have read and fully understand the terms and conditions of this waiver.
Signature R Date:
NOTE: Submission of this form indicates agreement to the above terms and conditions
  

For further registration information contact: Steve Emmett [ Email: register@SCEHockey.com or Phone: 519.624.2505 ]


       
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