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Grip Commerce Inc.

 

 
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STUDENT  
First Name*
Last Name*

Email*

Age as of Jan 1/10
Address Line 1

Address Line 2

City

Province

Postal

Phone - Home
Phone - Work
Medical History
* required fields
 

CAMP

(check one or more)
LADIES CAMP Every Friday ($15/hr)
     
March Break March 15 - 19
Brampton August 16 - 20
Brampton August 23 - 27
Don Cherry's Lunch Option (Add $35)
 
PAYMENT

Applications must be accompanied by a minimum $100 deposit.

Cancellation Policy:
In the event that it is necessary to cancel, a refund will be granted, subject to a $25 administration fee.

The applicant agrees that GAME CANADA HOCKEY SCHOOL and/or its proprietors will not be held responsible for any accidents or loss, however caused, and agrees to release the proprietors from all claims or damages which may arise as a result of or by reason of such accidents or loss.

Credit Card Type:
Credit Card Number:

Credit Card Expiry Date:

(mm/yy)


 
Signature of caregiver:  
Please type full name in box above.
This is to be taken as equivalent to a signature.
 
* e-confirmation will be sent on receipt of deposit.
 

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