GET Goaltending Camp Registration Form
FIRST NAME  LAST NAME
ADDRESS ADDRESS 2
CITY                                      STATE ZIP CODE
   
HOME PHONE WORK PHONE
PARTICIPANT'S BIRTH DATE
HEIGHT WEIGHT
EMAIL CURRENT LEVEL
HOUSE    TRAVEL
JERSEY SIZE (MEN'S) CAMP LOCATION AND DATE
PAYMENT METHOD  
CHECK BY MAIL   CREDIT CARD  
COMPLETE SECTION BELOW IF PAYING BY CREDIT CARD
CREDIT CARD NUMBER          EXPIRATION
CARD TYPE NAME ON CARD
   
                  

FULL NAME OF CARD HOLDER  

 SIGNATURE  OF CARD HOLDER

 

WAIVER
It is agreed that Goaltending Elite Training (The School) shall in no way be responsible or liable for any injury of any kind to Parent's son/daughter or ward, arising out of, or in the course of any operation of said hockey school. It is the intention of the parent to waive and release any and all claims, of any kind whatsoever, in law or in equity, of his or her enrolled son/daughter or ward, a minor, on account of any injury of any kind arising out of or in the course of any operation of said hockey school. Also it is agreed that any equipment which the School may use in conducting the hockey school is not guaranteed or warranted in any fashion.

 

_________________________________________________________________________________________
Signature of parent or guardian                                            Date

To pre register, make your check made payable to:
Goaltending Elite Training
 Complete and print this form and mail to:

Darren McClusky
971 Stanton St
Batavia, IL 60510

WITHIN 2 WEEKS AFTER RECEIVING YOUR APPLICATION, YOU WILL RECEIVE AN E-MAIL OR WE WILL MAIL YOU A CONFIRMATION OF ACCEPTANCE OR DENIAL TO THE CAMP.



 
 
 
 
   
   
 
Darren McClusky Goaltending Schools