Lovell's Hockey Schools, Inc
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| Name: | _________________________________________________ |
| Address: | _________________________________________________ |
| _________________________________________________ | |
| City, State & Zip: | _________________________________________________ |
| Age/Date of Birth: | ________________________ |
| Height/Weight: | ________________________ |
| Phone: | ________________________ |
| Email Address: | ________________________ |
| Emergency Contact & Phone: | _________________________________________________ |
| Current Team: | _________________________________________________ |
| Current Coach: | _________________________________________________ |
| Position: | _________________________________________________ |
| 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