Parmy's LLC
Registration Form
Eight Week Development Camp - Summer 2008 - Off-Ice Program

Name: _________________________________________________
Address: _________________________________________________
  _________________________________________________
City, State & Zip: _________________________________________________
Age/Date of Birth: ________________________
Height/Weight: ________________________
Phone: ________________________
Email Address: ________________________
Emergency Contact & Phone: _________________________________________________
Current Team: _________________________________________________
Current Coach: _________________________________________________
Position: _________________________________________________


Check one of the camps below.



Location - Canton Sportsplex, Canton MA, Mondays, Wednesdays, Thursdays,
June 23 - August 28, Rest Weeks July 14-18, August 11-15
Check Camp Code Type Eligibility Times Cost
  CMPOff1 Off Ice Midget/Prep 9:30am - 11:30am $800
  CJOff1 Off Ice Junior 11:30am - 1:30pm $800
  CJOff2 Off Ice Junior 1:30pm - 3:30pm $800
  CMPOff2 Off Ice Midget/Prep 3:30pm - 5:30pm $800
  CJOff3 Off Ice Midget/Prep 5:30pm - 7:30pm $800
  CJOff4 Off Ice Junior High (95-96) 7:30pm - 9:30pm $800



Invite Camp
Location - Canton Sportsplex, Canton MA, Tuesdays and Fridays
June 23 - August 28, Rest Weeks July 14-18, August 11-15
* Note: The Pro group also has a Sunday session from 9:30 to 11:00.
Check Camp Code Type Eligibility Times Cost
  CIVOff2 Off Ice Pro 12:00pm -1:30pm $800*



Private Group
Location - Canton Sportsplex, Canton MA, Mondays, Tuesdays, Thursdays and Fridays,
June 22 - August 28, No Rest Weeks
6 Players Maximum
Check Camp Code Type Eligibility Times Cost
  CPGOff1 Off Ice Elite 8:00am - 9:30am Sold Out



Private Group
Location - Canton Sportsplex, Canton MA, Tuesdays, Fridays and Sundays,
June 24 - August 31, No Rest Weeks
6 Players Maximum
Check Camp Code Type Eligibility Times Cost
  CPGOff2 Off Ice Elite Tuesdays and Fridays
9:30 - 10:45am
Sundays
8:00 - 9:15am 		$1500

Parmy's LLC Waiver: I hereby certify that the above-named Applicant is covered by a certified health insurance plan either through his/her parent, guardian or employer. I further certify that after consultation with the Applicant’s health care provider I have determined that the Applicant is sufficiently fit and healthy to participate in a vigorous physical exercise and training program.

I acknowledge that Parmy’s, LLC and its staff will have made no independent determination of the fitness of the Applicant for the program, and that Parmy’s and its staff shall be held harmless and shall not be responsible or liable for any injury suffered by the Applicant as a result of participation in the program. I am aware of the risks of participating in a vigorous physical exercise and training program and hereby waive and release all claims I or the Applicant may have relating to injuries incurred as a result of participating in the program. I also confirm that the Applicant is in excellent health and is able to participate in a vigorous physical training program. Parmy’s, LLC reserves the right to reject any Applicant if in its sole judgment such Applicant’s participation in the program would create an undue risk of injury to the Applicant or others, or if for any other reason it determines that the program is not appropriate for such Applicant.

Applicant or Parent/Guardian Signature _______________________________________ Date _________________

Print Name Signed Above _______________________________________

Deposit:
We require a 50% non-refundable deposit with the registration form. The balance is due at the first session. Applications are taken on a first come, first serve basis. There will not be a refund to the player if he/she leaves a session on their own, misses a session, or is expelled from a session.

Make Checks Payable to: Parmy's, LLC

Mail check and registration form to:
    Scott Parmentier
    288A Highland Street
    Taunton, MA 02780