Register Now

SUMMER GOALIE SCHOOL 2012 APPLICATION FORM

First Name:
Last Name:
Date Of Birth:
Sex:
Male Female
Address:
 
Telephone:
Alt Telephone:
Email Address:
# of Weeks Desired
Level of Play
Jersey Size if Desired
S M L XL XXL
(Please add $50 to the second deposit)
Health Card #:
Medical Issues:

 
Emergency Contact Details (Daytime)
Name:
Telephone:
Parent Guardian Name(s):

Please indicate your first, second and third choices for camp dates:
(We will endeavor to accommodate one of your choices but we cannot guarantee that it will be possible. Camps will be organized by age and skill level. )

Choice   
Date
Choice 1
Choice 2
Choice 3

The weekly fee for the Goaler U summer program is $700.00 (taxes included) for the first week and $625.00 (taxes included) for additional weeks. If you would like a detailed evaluation with strengths and areas of weakness add $50. If you would like a new 2012 Goaler U sweater add $50. For both the jersey and sweater the total is $80.00. Applications must be accompanied by at least half of the total cost of the school dated March 12th, 2012. A post-dated cheque for the balance dated May 1st, 2012 must also be included. No refunds will be given after May 1st 2012. A credit for a future program will be given for medical reasons only and is subject to a $50 administrative fee. There is no reduction in fees for late arrivals, missed days or early departures. Registration payments recieved that are not negotiable are subject to a $25 service charge.

PLEASE READ CAREFULLY BEFORE SUBMITTING THIS APPLICATION
The participant and parents / guardians acknowledge and agree the Goaler U Hockey Goaltending School or the skating rink or any of the other principals, officers, employees, agents, or instructors will NOT be held responsible for any accident, damage, injury or loss, however caused, negligent or otherwise, at any time and expressly releases any and all the aforementioned parties from all claims arising from any accident, damage, injury or loss or as a consequence thereof.

Please enter the 2 words from the image below into the text box provided.

I have read and agree to the Terms and Conditions
and Privacy Policy stated above.