2009 Winter Camp Registration

To complete the registration process we need a form filled out for each camp participant. Click the back button upon completion of this form to fill out forms for multiple particpants per family.

* Player's Name

* Date of Birth

* Phone Number

* Street Address

* City

* State

* Zip

* Team currently playing for

* Position

* Number of years played

* How did you hear about this camp?

* Parent/Guardian Name

* Email Address

AFFIDAVIT, CONSENT AND RELEASE: By submitting this application, I acknowledge that there are certain risks inherent in playing hockey. I hereby request the Weiss Tech Hockey school to register my minor child as a participant in the Weiss Tech Hockey training program and hereby release and covenant not to sue the Weiss Tech Hockey organization, nor any of its instructors nor administrators for any injury to my minor child sustained in the course of the training camp, games or activities. It is also agreed that, in the event of injury, the Weiss Tech Hockey school shall be permitted to secure medical care for my child, including treatment at a hospital, should it be deemed necessary.

* Date

* Indicates Response Required