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
Current Team
Coach/Reference
Height
Weight
Position
Shot - Right or Left
Grade point average 
Select the Camp you will be attending - starting point

1992-93 Camp Adrian


1994 Camp Ferris


1995 Camp Western


1996-97 Camp MSU


Womens 94-95


Womens 96-97


Method of Payment

Check

Cash / Money Order

Mastercard

Visa
Please select payment amount

$200 Deposit

$595 - Returner

$645 New Camper

$395 Women's Camp
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.


Full amount is non-refundable after June 15, 2012
First Contact Hockey Camp
1255 Berkshire Court
Adrian, Michigan
U.S.A. 49221

 

 

 
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