Championship Summer Hockey School Application 2017
Monday August 21 - Friday August 25
3:00pm to 5:00pm


 

STUDENT_________________________________________________________________

Date of Birth _________________________________________

ADDRESS______________________________________________________________

CITY________________________________  ZIP_______________________________

TELEPHONE____________________________________________________________

EMAIL ______________________________________________________________

AGE_________ NO. OF YEARS EXPERIENCE________________________________

POSITION______________________________ WEIGHT________________________
 

JERSEY SIZE                  PLEASE CIRCLE ONE

SMALL                           YOUTH                     MEN

MEDIUM                        YOUTH                     MEN

LARGE                            YOUTH                     MEN

X-LARGE                        YOUTH                     MEN

 

NOTE: WE ORDER THE SCHOOL JERSEYS ACCORDING TO THE SIZE LISTED ON THE APPLICATIONS, SO PLEASE LIST YOUR CHILDS CORRECT SIZE. THIS ELIMINATES ANY PROBLEMS THE FIRST DAY OF SCHOOL.                                                                                                                                         THANK YOU.

 

ALL STUDENTS ARE REQUIRED TO HELMETS WITH FACE MASKS

I HEAR BY ABSOLVE HOCKEYTOWN U.S.A., INC. , THE CHAMPIONSHIP HOCKEY SCHOOL AND THEIR INSTRUCTORS FROM ALL LIABILITY FOR INJURIES TO THESE REGISTERED PERSONS DURING THESE SCHOOL SESSIONS.  I HEREBY ATTEST THAT THE APPLICANT IS IN GOOD HEALTH AND ABLE TO PARTICIPATE IN THE PHYSICAL ACTIVITY OF A VIGOROUS ATHLETIC PROGRAM.  IN THE EVENT OF INJURY OR ILLNESS, THE SCHOOL HAS MY PERMISSION TO PROVIDE EMERGENCY FIRST AID CARE

 

________________________________________________________________________________________________
SIGNATURE OF PARENT OR LEGAL GUARDIAN

 

DATE_________________________________

THE COACHING STAFF RESERVES THE  OPTION TO CHANGE THE CURRICULUM WHEN IN THEIR OPINION IT BECOMES NECESSARY FOR IMPROVEMENT TO THE STUDENTS OVERALL ABILITY AS HOCKEY PLAYERS.         

 

Please print and mail to:

Hockeytown USA,
953 Broadway, Rte 1 South
Saugus, MA 01906

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