REGISTRATION
3 ZONES HOCKEY SCHOOL
"SEE THE ICE"
PLAYER'S FULL NAME:
PARENT'S FULL NAME:
ADDRESS:
CITY:
PROVINCE:
TELEPHONE:
E-MAIL:
BIRTHDATE:
POSTAL CODE:
MEDICAL CONDITIONS:
The applicant agrees that 3 zones hockey instruction and its staff will not be held responsible for accident or loss however caused and agrees to release the proprietors from all claims or damage which may arise as a result of such accidents or loss. In the event of inability to contact me, I hereby give you permission to seek out any necessary medical assistance my child may require while attending the program.
PLAYER LEVEL:
WAIVER:
PROGRAM:
CREDIT CARD NUMBER:
EXPIRY DATE:
PAYMENT METHODS: CASH, CHEQUE OR CREDIT CARD
IF YOU WISH TO PAY BY CREDIT CARD PLEASE FILL OUT THE FOLLOWING INFORMATION. ONCE YOUR REGISTRATION IS CONFIRMED YOUR CREDIT CARD WILL BE PROCESSED. A 3% ADDITIONAL TRANSACTION PROCESSING FEE APPLIES.
CSC:
/
For MasterCard or Visa, it's the last three digits in the signature area on the back of your card. For American Express, it's the four digits on the front of the card.
EACH REGISTRATION WILL BE SCREENED AND YOU WILL RECIEVE AN EMAIL CONFIRMATION VARIFYING YOUR SPOT IN THE CAMP.
