First Contact Hockey Camp - Registration Form


Registration Form

 
 

Registration
Full Name (F/M/L)
Birth date (MM/DD/YY)
Street
City
State/Province
Zip/Postal Code
Country
Email
Home phone
(area code) Number
Cell
(area code) Number
Father's name
Mother's name
Data
High School
09/10 Team
09/10 Coach
Height
Weight
Position
Shot - Right or Left
Grade point average 
Select the Camp you will be attending

RIT 90-92 Camp


RIT 93-94 Camp


MSU 90-92 Camp


MSU 93-94 Camp


Method of Payment

Check

Cash / Money Order

Mastercard

Visa
Please select payment amount

$200 Deposit for $350

$350 Full Pmt

$200 Deposit for $495

$495 Full Pmt
Card number
Name on card
Card Exp. Date

Please make all checks and money orders payable to:
First Contact Hockey Camp

$200 U.S.D. (non-refundable) due with application.

First Contact Hockey Camp
1255 Berkshire Court
Adrian, Michigan
U.S.A. 49221

 

 

 
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