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    Summer Camps 2013 Registration Form

    Uploaded by

    JessicaLaVoie
    This document provides information about spring/summer break hockey camps offered at Veteran's Memorial Rink in Somerville, MA in April-June and July-August 2013. It includes details on weekly camp sessions for different age levels from 6-8pm on specified dates, costs ranging from $24-28 per hour, maximum attendance numbers, and a registration form for parents to provide child and payment information.

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    © All Rights Reserved
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    Summer Camps 2013 Registration Form

    Uploaded by

    JessicaLaVoie
    15 views1 page
    This document provides information about spring/summer break hockey camps offered at Veteran's Memorial Rink in Somerville, MA in April-June and July-August 2013. It includes details on weekly camp sessions for different age levels from 6-8pm on specified dates, costs ranging from $24-28 per hour, maximum attendance numbers, and a registration form for parents to provide child and payment information.

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    This document provides information about spring/summer break hockey camps offered at Veteran's Memorial Rink in Somerville, MA in April-June and July-August 2013. It includes details on weekly camp sessions for different age levels from 6-8pm on specified dates, costs ranging from $24-28 per hour, maximum attendance numbers, and a registration form for parents to provide child and payment information.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    15 views1 page

    Summer Camps 2013 Registration Form

    Uploaded by

    JessicaLaVoie
    This document provides information about spring/summer break hockey camps offered at Veteran's Memorial Rink in Somerville, MA in April-June and July-August 2013. It includes details on weekly camp sessions for different age levels from 6-8pm on specified dates, costs ranging from $24-28 per hour, maximum attendance numbers, and a registration form for parents to provide child and payment information.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    Spring/Summer Break Camps 2013

    Veterans Memorial Rink, Somerville, MA


    -April 24th - June 26th (10 weeks): Wednesday Nights, 6pm-8pm
    -July 8th 12th: Monday - Friday, 6pm-8pm (5 day camp)
    -July 17th - August 28th (7 weeks): Wednesday Nights, 6pm-7:30pm In-House/Mites/up to U10 Girls &
    7:30pm-9:00pm Squirt/Peewees/Bantams & up to U16 Girls

    Name of Child ___________________________________________________________


    Date of Birth: ____/____/_______ Age: __________

    Male Female

    Youth Hockey/Select Program: _____________________________________________


    Youth Hockey Level (please check one)
    In-House Mite
    Girl Levels: U8

    Squirt

    U10

    Peewee

    U12

    Bantam Goalie (boy or girl)

    U14 U16

    Parent/Guardian Name: ___________________________________________________


    Phone: _______________________ Email: ___________________________________
    My child will attend (please check all that apply)
    April 24th-June 26th
    Wednesday Nights (10 weeks)
    6:00pm-8:00pm (all levels)
    45 Maximum Skaters
    10 Weeks: $480 ($24 an hr)
    9 Weeks: $468 ($26 an hr)
    8 Weeks: $448 ($28 an hr)

    July 8th - 12th


    Monday Friday
    6:00pm-8:00pm (all levels)
    $260 per skater ($28 an hr)
    45 Maximum Skaters

    If you choose the 8 or 9 week option,


    which week(s) will you miss? (circle)
    4/24, 5/1, 5/8, 5/15, 5/22, 5/29, 6/5, 6/12, 6/19, 6/26

    I have enclosed a waiver


    YES

    July 17th - August 28th


    Wednesday Nights (7 Weeks)
    In-House/Mites & up to U10: 6:00pm7:30pm
    Squirts/Peewees/Bantam/U16: 7:30pm-9:00pm
    30 Maximum Skaters (smaller rink)
    7 Weeks: $252 ($24 an hr)
    6 Weeks: $234 ($26 an hr)
    5 Weeks: $210 ($28 an hr)
    If you choose the 5 or 6 week option, which weeks
    will you miss? (circle) 7/17, 7/24, 7/31, 8/7, 8/14, 8/21, 8/28

    I have enclosed a check


    YES

    How did you hear about this Hockey Camp? ___________________________________


    *Please be advised that credits/refunds may only be issued prior to the first night this clinic begins.
    Staffing is in conjunction with an exact amount of kids. If your child has a medical emergency after the
    start date, please forward a doctors note to John Roderick. If there are any other questions or concerns,
    please contact John directly. Checks must accompany this application in order to reserve a spot for your
    child(ren).
    I have read and understand the credit/refund policy.
    Please mail this registration form, a check made out to John Roderick, and a completed waiver to John
    Roderick, 3 Abbott Court Woburn, MA 01801
    Your Signature _______________________________________ Date ___/____/_______

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