Lovell's Hockey Schools, Inc
Registration Form
February 2007 Vacation Camp

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



Location:       Canton Sportsplex

Day Dates Times Cost
Tuesday
Wednesday
Thursday
February 20th
February 21st
February 22nd
mites/squirts
9:00 - 10:20am
peewees/bantams
10:30 - 11:50am
$100

Waiver: I certify that the above named applicant is fully covered by a certified health insurance plan and the Lovell's Hockey Schools, Inc. and its Staff are not responsible or liable for any injury suffered by the applicant during participation at the camp. I also state that the applicant is in excellent health and is able to participate in the physical activity of a vigorous program. Lovell's Hockey Schools, Inc. reserves the right to accept only the players they conclude meet the standards established by the coaching personnel.

Parent/Guardian Signature __________________________________________________ Date _________________

Deposit:
We require a 50% non-refundable deposit with the registration form. The balance is due at the first session. . A limited number of players are on the ice so sign up quickly to secure your spot. 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:  Lovell's Hockey Schools, Inc.

Mail check and registration form to:
    Lovell's Hockey Schools, Inc.
    305 Prospect Street
    Norwood, MA 02062