Trail Smoke Eaters-Camp Application

Trail Smoke Eaters 2008 Spring Camp Application

Name
Address
City
Prov/State		Zip Code
Phone		Position
Date of Birth		Age
Height		Weight
Parents
Last team
League
Coach
Coachs Ph. #
Classification	Bantaam Midget Junior High School
Level of Play	A AA AAA Varsity Other

Last Seasons Statistics

Games Played Goals Assists Total

Goalies : Games Played G.A.A Save %

Health Care / Medical #

2008 Spring Camp Cost

All registrations MUST include a $50 non-refundable registration fee.
Total cost of Camp is $175 with the balance owing due upon arrival at Camp.

Payment can be made by certified check, money order, MasterCard or Visa.

To pay by Mastercard or Visa:
Please fill in the details below. Note that your credit card expiration date and your signature must be entered.
A registration fee of $50.00 CDN is required for acceptance of your application and is authorized by filling out the following information. The balance owing of $125 is required on the first day of Camp.

Check one: MASTERCARD VISA

Name of Card Holder
Credit Card Number
Card Expiry Date : Month Year

Card Holders Signature ___________________________________________

WAIVER The applicant agrees that the Trail Smoke Eaters Hockey Club will not be held responsible for any accident or loss however caused and agrees to release the Trail Smoke Eaters Hockey Club from all claims or damages which may arise as a result of such accident or loss.

Parents Signature _______________________________________

Date_________________________

All applications must be accompanied by a $50.00 registration fee to be accepted.

FOR OFFICE USE ONLY :

Date Total Amount Paid Method

Please print this form to make your application by mail or fax.
Do Not Send This Form Over the Internet.

Mail Registration form and payment to :
Trail Smoke Eaters Hockey Club
Box 313
Trail, B.C. Canada
V1R 4L6

Tel. (250) 364-9994
Fax. (250) 364-9920
E-mail : tsecoach@shaw.ca