Hockey Training Camps: Expression of Interest

First Name

Last Name

Date of Birth 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 January February March April May June July August September October November December 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921

Gender
Male Female

Email Address

Home Phone

Address 1
Address 2
City
State/Province
Country
Zip/Postal Code

Emergency Contact #1
Name
Phone Number
Relationship

Emergency Contact #2
Name
Phone Number
Relationship

Previously Attended Camps
2007 - Summer
2008 - March Break
2008 - Summer
2008 - Winter - Toronto
2008 - Winter - Napanee
2008 - Pre-Tryout
2009 - Winter - Napanee
2009 - Summer
2009 - Winter - Kingston
2009 - Winter - Toronto
2009 - Pre-Tryout
2009 - March Break
2010 - March Break
2010 - Pre-Tryout

Level of Play Beginner House League Rep A AA AAA High School Junior Varsity High School Varsity Junior A Junior B Junior C Major Junior A College DI College DIII ECHL AHL European Pro NHL

Current Team

Current Coach

Current Coach's Phone Number

Desired Camp 2010 - Summer - Toronto 2010 - Summer - Napanee

Contact Number (for booking)
Number
Best Time To Call (day/evening)