Please print this page, fill it out, and mail it with the $375 application fee, to the address listed at the bottom of this page. Register early to avoid disappointment. If you have any problems printing this page, please use the printable version of the application form.

Name:  ____________________________________________________________________

Age: (as of August 11th, 2008) ___________

Position:  Goal (  )   Forward (  )   Defence (  )

Name of Parent or Guardian:  ______________________________________________

Address:  _________________________________________________________________

   (city) _____________________ (province) _______ (postal code) __________

Phone:   (home) (______)____________  (work) (______)____________

         (cottage/cellular) (______)____________

Team:  _____________________________ Competitive (  )  House League (  )

2007 Group (if applicable): __________  2008 "Preferred" Group: ___________

E-mail:  __________________________________________

Health Card Number:  ______________________________

Do you have any special requests for the group you are in? (e.g., travel
  partners, attending with friends) _____________________________________

Do you have any health problems we should be aware of? ___________________

__________________________________________________________________________

Collected in accordance with section 28(2) of the Freedom of Information and Protection Privacy Act, 1989. The information collected is to be used solely for the purpose of the administration of this program. If further information is required, call (705) 689-8150. It is understood and agreed that while all diligence is taken to assure the well-being of the participant, there are certain risks that are normal to the sport for which management bears no responsibility.

Date: ____________________________________________________________________

Parent or Guardian Signature: ____________________________________________

Please Note: Refunds will be made until June 1^st, 2008, subject to a $25.00 administration charge. Cancellations made after June 1^st, 2008 will be credited to enrollment in the school in 2009. Full registration fee is due by June 1^st, 2008.