Camp Form

REGISTRATION FOR CAMP

PARENT INFO

* Indicates required field

PARENT Name *

First

Last

PARENT Email *

PARENT CELL FOR EMERGENCY *

STUDENT INFO

STUDENT-ATHLETE Name *

First

Last

PLEASE CHOOSE APPROPRIATE GROUP *

ANY MEDICAL NOTES *

HEALTH CARD PICTURE UPLOAD *

Max file size: 20MB

AGREEMENT

I/we understand and acknowledge that the billets, staff, officers, employees and agents of A21 Academy act in the place and position of guardian of my child(ren) while in attendance at A21 Academy. Recognizing this, I/we authorize each or any of them to provide to my child(ren) any medical treatment and support that they consider to be reasonable or necessary.

In consideration of their willingness to care for my child(ren), I/we release, remise and discharge, indemnify and save harmless, the Billets, the A21 Academy Ltd, its Board of Directors, officers, employees and agents from any and all liability, claims or causes of action by virtue of application, or non-application of medical treatment and not liable for any accident or loss however caused. I/we agree to release A21 Academy from all claims and damages.

RELEASE AND INDEMNITY *

READ ABOVE, UNDERSTAND AND AGREE WITH AUTHORIZATION, RELEASE AND INDEMNITY

COVID POLICIES *

UNDERSTAND AND AGREE TO FOLLOW ALL COIVID POLICIES

FEE OF $21/HR X 21 HRS = $441 PER PLAYER

TO SECURE YOUR SPOT - PAYMENT DUE BY JULY 30TH BY E-TRANSFER TO info@a21academy.com *

AGREE

Submit

AAA/PREP HOCKEY CAMP

21 ICE HRS
$21 PER HR

REGISTRATION FOR CAMP

PARENT INFO

STUDENT INFO

AGREEMENT

A21 ALUMNI COMMITS

AAA/PREP HOCKEY CAMP

21 ICE HRS$21 PER HR

REGISTRATION FOR CAMP

PARENT INFO

STUDENT INFO

AGREEMENT

A21 ALUMNI COMMITS

21 ICE HRS
$21 PER HR