Athlete First Name *

Athlete Last Name *

Athlete Email *

Athlete Phone *

Address *

Athlete Date of Birth: *
- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 - 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980

Primary Position Played: *
- Select Option Wing Center Defense Goalie

Most Recent Team *

Highest Level Played: *
- Select Option Tier 1 or 2 Junior Hockey Tier 3 Junior Hockey AAA Hockey High School Hockey NCAA Hockey ACHA Hockey Not listed Please specify a value for Highest Level Played:

Current School *

Graduating Year/Current Class Standing *

Emergency Contact Name *

Emergency Contact Phone *

Anything coaches or athletic trainers should be aware of (allergies, past injuries, etc.)?

Which camp are you signing up for? *
Camp #1 (5/18) ($50.00)
Camp #2 (6/15) ($50.00)
Camp #3 (7/27) ($50.00)
All 3 Camps ($125.00)

Are you younger than 18 years old? *
- Select Option Yes No

DOWNLOAD THE REQUIRED MINOR RELEASE/PARTICIPATION WAIVER HERE

All participants under the age of 18 are required to have a completed and signed copy of the above Participation/Release Form prior to participation in this clinic.  Please download, complete, sign, and upload a copy below or bring the complete hard copy with you to check-in.

Completed Release Forms Uploaded Here (or turn in hard copy at check-in) *
Please upload a file with the extension .csv, .xls, .ppt, .doc, .pdf, .psd, .rtf, .pages, .docx, .odt, .pptx, .xlsx, .pub, .zip, .mp3, .mpg, .bmp, .gif, .jpeg, .jpg, .png, .tiff, .txt, .mp4, .qt, .wma, or .wmv with a maximum size of 2 MB (2048 KB)