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BC Hockey 2017-2018 Summer Skills Camp

2017 Summer Skills Camp

August 14 - 18, 2017

Gibsons & Area Community Centre, Gibsons, BC

The camp is open to male and female Novice and Atom recreational players, with room for Pee Wee players based on availability.

The week-long camp costs $400 and includes on and off-ice instruction from local coaches. Ice sessions are designed to ensure maximum levels of activity and enjoyment through skill instruction, drills, and fun games. Players will also receive a jersey, water bottle, and hat.

The registration deadline is August 7, 2017.

Participant Information

First Name *  
Last Name *  
Date of Birth *  
Address *  
City *  
Province *  
Postal Code *  
2017-2018 Division *  
2017-2018 Minor Hockey Association *  
Location *
Estimated Skill Level *  
Preferred Position *

 
Secondary Position

Jersey Size *  

Contact Information

Parent/Guardian Name *  
Parent/Guardian Phone *    
Parent/Guardian Email *    
Emergency Contact Name *  
Emergency Contact Phone *    
Relationship to Participant *  
Emergency Contact City *  

Medical Information

BC Care Card Number *  
Family Doctor
Family Doctor Phone  
Medical Insurance Number
Group/Certificate Number
Hospitalized in the past year? *
 
Presently injured? *
 
Injuries requiring medical attention? *
 
Wears dental appliance? *
 
Ill longer than one (1) week in the past year? *
 
Wears contact lenses? *
 
Has allergies (including medication)? *
 
Asthmatic? *
 
Trouble breathing during exercise? *
 
Diabetic? *
 
Fainting during exercise? *
 
Epileptic? *
 
Difficulty hearing? *
 
Heart Condition? *
 
Interfering health problems? *
 
Learning disability? *
 
Medic alert bracelet? *
 
Wears Glasses? *
 
History of concussions? *
 
Surgery in the past year? *
 
Currently taking medication? *
 
If you selected YES to any of the above medical condition that may affect the participant's ability to fully participate in the event, please specify below:

Disclaimer:

By clicking submit you agree to the following:

As individual of age of majority / parent / legal guardian (the “Applicant”), I have completed the above information and agree that, provided an attempt has been made to contact the Applicant and the Emergency Contact, I authorize anyone acting on behalf of the British Columbia Amateur Hockey Association to seek medical and / or dental advice or treatment for my son / daughter / self as recommended by a licenced medical practitioner if medical and / or dental treatment is required or suspected to be required as a result of illness, injury or unknown malady. 

I further authorize that, at the direction any Program Leader acting on behalf of the British Columbia Amateur Hockey Association, my son / daughter / self may be sent home at my expense in the event of a medical, dental and / or behavioural situation.    

Furthermore, for good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, I grant to the British Columbia Amateur Hockey Association (the “Producer”) and to its administrators, successors, assigns, servants, agents, insurers, officers, directors and other successors in interest all rights in and to my / my child’s appearance, name, and / or voice and the results and proceeds thereof in connection with my or my child’s participation in the Producer’s programs and events. 

I hereby authorize the Producer to photograph and record on film, tape, or otherwise my / my child’s participation in the Producer’s programs or events (the “Recording”).  I further authorize the Producer to edit the Recording at its discretion; to include the Recording with the performances of others; to add to the Recording sound effects, special effects and music; and  to licence others to use the Recording. 

I further authorize the Producer to use my / my child’s name, likeness, voice, biographic information and other information in connection with the Recording. 

In addition, I hereby release, remise and forever discharge the Producer, its administrators, successors, assigns, servants, agents, insurers, officers, directors and other successors in interest from any liability in connection with the production and / or use of any Recordings. 

Camp Fee: $400.00
GST: $0.00
Total: $400.00

The following refund policy applies to cancellations: 
50% refund up until 15 days prior to the start of camp. 
NO REFUND within 14 days of the start of camp. 


ABOUT US
BC Hockey is a non-profit organization and member of Hockey Canada in charge of governing amateur hockey at all levels in British Columbia and the Yukon Territory.

Approximately 150 minor hockey associations, 55,000 players, 4,500 referees, 20,000 official volunteers and countless others make our great game possible here in Pacific Canada.

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