Note
Only parents, legal guardians or persons 18 years of age or older can enter information.
Player's Name *
Player's Name
Level *
Choose Camp/Clinic You Will Be Attending *
Address *
Address
Phone *
Phone
Please read waiver carefully. I have read the Pond Hockey brochure and application and agree to the terms and conditions herein. I certify that the questions on the application have been answered correctly. I hereby give my consent for my child to participate in the program operated by Pond Hockey and/or its proprietors. I further agree that Pond Hockey and its agents or employees will not be held responsible for any accident, injury or loss, however caused, during the hockey training session attended by my child. This also serves as my written consent to have my child attended to and/or admitted for medical or dental treatment in case of sickness or injury.
Payment Method *