The Durham Hockey Institute

Checking

navbarEndCap5

CONTACT LOCATIONS

2011
Checking Clinics

Pennsauken

Dates:  March 14, 21, 28

$109

Birth Years

Time

Status

2003 - 1997

8:10 PM-9:10 PM

Closed




 

2011 Checking Registration

 

Information      
      Name:      
    *      
      Street Address:   City:  
     
      State/Province: Zip/Post Cd: Country:  
     
      Telephone:   Cell:  
       ( ) -    ( ) -
      Email:      
    *    
      Birth Date:   Height:   Weight:
    * MM  * DD  *YY * Ft * In * lbs
Emergency Contact Information       
      Name:   Phone or Cell number:
   
Position Goalie      Center LWing RWing LDefense RDefense
    * Select All   Applicable:      
Allergies Yes No If yes, please detail allergies in
'Extra Detail Information' below
       
    * Select One:        
Camp Jersey       
   
Select Youth Size:
       OR
           Select Adult Size:
Camp of Interest:      
    * Select Camp:
League of Play:      
    Select League:            
Extra Info      
       
         

Waiver and release:
I acknowledge that the sport of hockey has inherit risks of injury. In consideration of enrolling in a program of instruction with Durham Hockey Institute, the undersigned hereby:

1. Releases and discharges Durham Hockey Institute, it’s directors, employees and agents (the “Releasees”) from any and all liability for any injury however occurring, whether from negligence on the part of the Releasees or otherwise: and
2. I hereby agree to indemnify and save harmless the Releasees from any and all causes of action brought against them as a result of any injury however occurring.

    Please select the box
indicating if you have read, understood and accepted the
Waiver and Release
           
         
    *   <<< Please Check
<<< Waiver Box
     
         
                       
Registration Closed

Sorry, Registration for Pennsauken Clinics is not Open yet

(Coming Soon)

 

Ontario - DURHAM HOCKEY INSTITUTE

Campus Ice Centre - Durham College & UOIT

2200 Simcoe St N.

Oshawa, ON  L1H 7K4  Canada

[Home] [About Us] [Camps/Clinics] [Events] [Services] [Registrations] [Info] [OurStore] [Games]
LilHawk WebDesign