Online casino poker gambling Online Casino Slots Us in nj Casino jeux en france ... ohne Online Casino Slots Us anmeldun
JR. A HOCKEY CLUB
APRIL 2016 TO PROSPECTIVE PLAYERS AND GOALIES: The Burlington Cougars Jr. A hockey club will be conducting our Spring player and goalie development camps April 22-24. This is an open invitation tryout - all positions available. Includes a jersey. These sessions are designed as an evaluation tool for the Cougars’ staff to identify players and goaltenders who can potentially earn a roster spot with our hockey club for the 2016-17 season.
DATES/TIMES:
Friday, April 22 4:30 - 7:30pm Goalies only Saturday, April 23 6:00 - 10:00pm Intra-squad games Sunday, April 24 4:00 - 8:00pm Intra-squad games Intra-squad games will be posted 1 hour prior to start times Goalies will be notified after Friday night’s skate as to what team they’re on Players will have the potential to play in the Burlington Cougars Jr. A Summer League on Saturdays running from May through mid-July. Returning Cougars players will be split up onto teams. You will have the chance to play alongside Jr. A hockey players To confirm registration, (you must register online) proceed to www.burlingtoncougarsjrahockey.ca and follow instructions to register and pay. Online payment preferred, cheques accepted drafted to Burlington Cougars Hockey Club and mailed to 1179 Northside Road, Burlington, Ontario, L7M 1H5.
Tryout investment: $199.00 All-in, jersey included
REGISTRATION FORM
(Please print)
Once completed, please fax to 905-336-9311 or drop off at Wave Twin Rinks (1179 Northside Rd, Burlington, ON L7M 1H5)
DEVELOPMENT CAMPS - APRIL 22-24 2016 Participant’s Name: Address: City:
Province:
Postal Code:
Home Phone:
Cell Phone:
Email: Participant’s Date of Birth (yyyy/mm/dd):
/
/
If under 18 years of age, I have notified my parent(s) of the waiver below and they agree.
Yes
No
Parent’s Name: Parent’s Cell:
Parent’s Email: Left Wing
Position(s) played: Shot:
Left
Centre
Right Wing
Defense
Height:
Right
Goalie
Weight:
2015-2016 Team: High School Average: Sell Yourself!:
Pricing: $199.00 All-in, jersey included Payment Options:
Cash
Cheque (Payable to Burlington Cougars Hockey Club)
Credit Card #:
Expiry:
Visa
MasterCard
/
REGISTRATION CANCELLATIONS ARE SUBJECT TO A $25 SERVICE CHARGE. THE UNDERSIGNED IS RESPONSIBLE FOR THE CONDUCT OF THE PLAYER WHILE PARTICIPATING IN THIS PROGRAM. THE PLAYER SHALL BE GOVERNED BY THE RULES ESTABLISHED BY BURLINGTON COUGARS JR. A HOCKEY CLUB. MISSED CLASSES WILL NOT BE REIMBURSED. IT IS UNDERSTOOD THAT THE UNDERSIGNED PERSON OF LEGAL AGE OR LEGAL GUARDIAN SHALL NOT HOLD THE LEAGUE OR THEIR INSTRUCTORS, ADMINISTRATORS, OFFICIALS, OR THE FACILITY USED LIABLE IN THE EVENT OF INJURY OR LOSS IN ANY MANNER WHATSOEVER. I SPECIFICALLY WAIVE, GIVE UP AND RELEASE BURLINGTON COUGARS JR. A HOCKEY CLUB, ITS RELATED COMPANIES AND THEIR STAFF FROM ALL LIABILITY FOR ANY CLAIM FOR DAMAGES WHICH I MAY HAVE RELATING TO INJURIES OR ILLNESS THAT I MAY SUSTAIN. BY SIGNING THIS WAIVER, I ALSO CERTIFY THAT I AM IN GOOD HEALTH, WITH NO CHRONIC ILLNESS OR ABNORMAL TENDENCIES. THE PLAYER LISTED ABOVE IS REGISTERED UNDER THE CARE OF THE UNDERSIGNED AND ASSUMES ALL RISKS THROUGH ENROLLMENT IN THIS PROGRAM WHICH CONSISTS OF PHYSICAL INTERACTION CAPABLE OF INJURY. THE PLAYER MUST WEAR ALL APPROVED HOCKEY EQUIPMENT INCLUDING HELMET, FULL FACE MASK, SHIN PADS, ELBOW PADS, HOCKEY GLOVES, HOCKEY PANTS, SHOULDER PADS, MOUTH GUARDS AND HOCKEY SHIRT. I HAVE READ AND UNDERSTAND ALL ITEMS ON THIS PLAYER FORM. I UNDERSTAND THAT I AM PERMITTING BURLINGTON COUGARS JR. A HOCKEY CLUB TO USE MY EMAIL ADDRESS FOR COMPANY-RELATED COMMUNICATIONS. I THE UNDERSIGNED AGREE TO ALLOW BURLINGTON COUGARS JR. A HOCKEY CLUB AND/OR ITS RELATED COMPANIES TO USE THE PARTICIPANTS’ NAMES AND OR PICTURES FOR ADVERTISING PURPOSES.
Parent/Guardian Signature:
Date:
