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2022 Brantford 99ers Jr A Prospect Camp Registration Form

January 26 @ 8:00 am - 5:00 pm

 

 2022 Brantford 99ers Jr. A Prospect Camp

2022 Brantford 99ers Jr. A Hockey Club Main Camp Player Registration Form

Players will be notified on game schedule. PLEASE DO NOT SEND FEES AT THIS TIME

Please fill out the required player information form in its entirety. PRINT CLEARLY

Last Name

 

First Name

 

Address:

 

City:

 

Postal Code:

 

Phone:

 

Email:

 

Position:

 

Date of Birth:

 

Height:

 

Weight:

 

Shot:

 

Previous Team & League:

 

WAIVER – The undersigned player, parent/guardian releases the Brantford 99ers Hockey Club, its officers, directors, and employees from any claims for injury and/or damages that may arise from participation in this team hockey program.

____________________________________                   ________________________________________

Player Signature                                                                               Date

____________________________________                   ________________________________________

Parent/Guardian Signature (if under 18)                                     Date

Details

Date:
January 26
Time:
8:00 am - 5:00 pm