RESORT RINGETTE ACADEMY

The Resort Ringette Academy is Southern Ontario’s only ringette and overnight summer camp experience for kids from 7 to 16. Offering an amazing experience for boys & girls to develop their skills of ringette, skating, shooting, archery, rock climbing and splat ball.

Week of July 10th, 2017 – Monday to Friday

CAMPERS INFO
First Name: Last Name:
Age: Date of Birth: MM / DD / YYYY
Jersey Size (CIRCLE ONE): YOUTH: XS | S | M | L | XL ADULT: S | M | L | XL
Address: Home Phone: () - -
City: Postal Code:
PARENTS INFO
Parent/Guardian #1
First Name: Last Name:
Home Phone: () - - Cell Phone: () - -
Email:
Parent/Guardian #2
First Name: Last Name:
Home Phone: () - - Cell Phone: () - -
Email:
RIGNETTE PACKAGES
OPTION / DATES / INCLUDED / PRICE (WITH TAX)
(A) RINGETTE & ACTIVITES (ON RESORT)
$394.75 (+HST)
/ JULY 10TH, 2017 – JULY 14TH, 2017 / HAT, JERSEY, T-SHIRT, WATERBOTTLE
BOSTON PIZZA LUNCH BUFFET
(MON/TUES/THURS)
ACTIVITIES: ARCHERY CLASS, ROCK CLIMBING, SPLAT MASTER
(MON-THURS) / $446.07
(B) RINGETTE ONLY
$320.00 (+HST) / JULY 10TH, 2017 – JULY 14TH, 2017 / JERSEY / $361.60
(A) GOALIE DEVELOPMENT & ACTIVITIES (ON RESORT)
$344.75 (+HST) / JULY 10TH, 2017 – JULY 14TH, 2017 / HAT, JERSEY, T-SHIRT, WATERBOTTLE
BOSTON PIZZA LUNCH BUFFET
(MON/TUES/THURS)
ACTIVITIES: ARCHERY CLASS, ROCK CLIMBING, SPLAT MASTER
(MON-THURS) / $389.57
(B) GOALIE DEVELOPMENT ONLY
$270.00 (+HST) / JULY 10TH, 2017 – JULY 14TH, 2017 / JERSEY / $305.10
PAYMENT
mail to: or
Velenosi Power Skating c/o Mohawk 4 Ice Centre
710 Mountain Brow Blvd, Hamilton L8T 5A9
drop off at the “Velenosi” mail box (beside the sports store at the Quad)
or email with attachment:
HAVE YOU ATTENDED A VELENOSI HOCKEY PROGRAM BEFORE :Y N
HOW DID YOU HEAR OF US?
AMOUNT: CARD HOLDER NAME:
CARD NUMBER: EXPIRY DATE: MM / DD / YYYY
AUTHORIZATION OF CHARGES: SIGNATURE:
No refunds, credit only unless spot can be filled HST#781581129RT0001
$10.00 administrative fee will be added to all cc payments
Once payment is received we will send confirmation of payment with schedule and times.
CONSENT
In consideration of the Velenosi Hockey programs, accepting ______as a participant in their Resort Hockey/Ringette Academy program, I ______hereby for myself, my heirs, executors, administrators and assigns, forever release discharge Velenosi Hockey their instructors, administrators, servants, agents, sponsors, employees or volunteers from any claims, demands, costs (including solicitor and client costs on a full indemnity basis) actions, causes of action, proceedings arising out of or as a consequence of any loss, injury or damage however caused while attending and participating in Velenosi Hockey programs.
I declare that ______physical condition, to the best of my knowledge, is such that it will enable him/her to participate safely in all skating, hockey, and ringette related programs and that no physician or other qualified individual has advised him/her against participating in this or similar program and further assume all responsibility with him/her not obtained such an examination.
I also understand that:
I)  Full protective equipment including helmet must be worn
II)  The administration reserves the right to remove from camp any participant in the opinion of the instructors or administrators the participant is not acting in an acceptable manner.
Parent/Guardian Signature______Date______

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