SHOOTING CLINIC

1 HOUR SHOOTING CLINIC! AGES 8,9,10
10:30 - 11:30AM RINK 1

Location:

THE GALE CENTRE ARENA - 5152 THOROLD STONE RD

Starting Date:

2022-08-31

Total:

$40

Player's Information

First Name

Last Name

Sex

Date Of Birth

Current Age

Current Player Level

Guardian's / Parent's Information

First Name

Last Name

Address / Contact Information

Address

Address2

City

Province

Country

Postal Code

Day-Time Phone

Evening Phone

Mobile Phone

Player Email

Guardian's / Parent's Contact Information

Day-Time Phone

Evening Phone

Mobile Phone

Parent Email

Information

How did you hear about our Programs?

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If Personal Referral, is there Someone we can Thank for this Referral?

Please use this to give us any relevant information about yourself or your family

REGISTRATION POLICY

Your Registration will be confirmed once full payment has been received. By registering for this program you are contracting with Todd Simon Hockey to pay for the ENTIRE program prior to the start of the first session, whether your child attends or not. ANY "NO SHOWS" WILL NOT BE ALLOWED TO REGISTER FOR FUTURE PROGRAMS UNTIL PRIOR REGISTRATION IS PAID IN FULL.

Release of Liability/Acknowledgement of Risk:

It is agreed that Todd Simon and any other instructors are released from any and all claims from damage that may arise from an accident or injury which was caused by or arose from participation of the applicant hereon during the program in any location where the program is held.

I Agree

Program Registration