| cuttingedgecamp_registr.pdf | |
| File Size: | 78 kb |
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Please download the PDF file above to register.
Complete and mail back with a deposit or full payment to the address at the bottom of the form.
Complete and mail back with a deposit or full payment to the address at the bottom of the form.
Cutting Edge Hockey Registration (This is what you will find on the PDF form above.)
(For Pre-College, Pre-Prep School Hockey Week please see separate form under registration tab)
Please enroll the undersigned. I understand that Cutting Edge does not assume responsibility for accidents, loss of equipment, or other expenses incurred as a result of participation in this clinic. I attest that the applicant is in good health and able to participate in the physical activity of a vigorous athletic program. In the event of injury or illness, Cutting Edge has my permission to provide emergency first aid care.
A $100.00 deposit is required upon return of this form.
YOUR DEPOSIT OF $100.00 IS NON REFUNDABLE if you have not cancelled in writing 14 days prior to the start of the clinic. Any other payment will be returned on a credit basis, upon cancellation of the clinic.
The following camps will be held at Chelsea Piers of Connecticut, Stamford, CT
Session I: August 6-10 4:30 pm – 7:00 pm • Cost: $395.00
Session II: August 13-17 4:30 pm – 7:00 pm • Cost: $495.00
Session III: August 20-23 12:00 pm – 3:00 pm • Cost: $395.00
Session Number(s)_____________________________________________________________________________
Signature of Parent/Guardian_____________________________________________________________________
Attendee's Name_______________________________________________ Date of Birth______/______ /________
Address______________________________________________ City ________________ State_____ Zip_______
Telephone_____________________Emergency Tele. #/Contact__________________________________________
Email_______________________________________________________________________________________
Current Team_________________________Current Position_____________ Current School__________________
Please check one of the payment options. No Credit Cards Please:
( ) Deposit ( ) Full Payment Amt. Enclosed: $____________________________
Checks payable to: Cutting Edge Hockey
Mail to: 6 Mayflower Road, Norwalk, CT 06850
Work phone: (203) 625-8940 Home Phone: (203) 840-1440
E-Mail Moe: mtarrant@greenwichacademy.org E-Mail Shannon: shannon.tarrant@gmail.com