2010 Fees are $660/per participant

How to sign up

Signing up for Hockey & Sons is fast and easy. Simply fill out the electronic form below and hit submit. Your information goes directly to the Hockey & Sons secretary, Marilyn M. Bowers, for processing.

Please note, signing up does NOT GUARANTEE you a spot at the camp. A representative from Hockey & Sons will advise you of your status in a timely manner.

How to pay: You have 2 options for payment:

1. Pay by check
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Hold your place at the camp by sending the full payment of $660/per participant. Please make checks payable to Hockey & Sons and mail to:

Marilyn M. Bowers

Hockey & Sons Skills Camp

2208 Spring St.

Cross Plains, WI 53528

2. Pay online
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Payment by credit card must be in full. To pay online with a credit card, please click here:
please click here.

**Please note, an administrative fee of $100 will be charged for registration cancellation. If you are unable to get into the camp due to enrollment limits, then a full refund will be issued.

 

ENROLLMENT FORM
**It would be greatly appreciated if you fill this form out completely and fill a form out for each individual attending. THANK YOU!**
Attending	June 16-20, 2010 July 31 - August 4, 2010 August 4-8, 2010
PARENT
New Participant	Yes    No
	if no, list years attended
How did you hear about this camp?	Web Site ReferralPrinted AdvertisementHockey Expo
If Referral, from who?
I'm the	Dad    Mom
My Occupation is
Name
Address
City
State
Zip
Home Phone	()
Cell Phone	()
Work Phone	()
Email
Age
Did you play hockey?	Yes    No
Where?
When?
Position
Are you a coach?
What level?
Insurance Carrier
Policy Number
Emergency contact
Emergency phone number	()
Jersey Size, please pick one for each child and one for parent
Child 1
Youth	Small    Medium    Large
Men's	Small    Medium    Large
Child 2
Youth	Small    Medium    Large
Men's	Small    Medium    Large
Child 3
Youth	Small    Medium    Large
Men's	Small    Medium    Large
Parent
Men's	Small    Medium    Large    X-Large XX-Large
Special Requests Please list families you want to be near in the dorms oand/or locker rooms. We try to accommodate all requests, but this isn't always possible.
CHILD 1
New Participant	Yes    No
	if no, list years attended
	Boy    Girl
Name
Address
City
State
Zip
Home Phone	()
Email
Age (when at camp)
Date of Birth
Height	ft. in.
Weight
Position
Team Level
Insurance Carrier
Policy Number
Emergency Contact
Emergency Phone Number	()
CHILD 2
New Participant	Yes    No
	if no, list years attended
	Boy    Girl
Name
Address
City
State
Zip
Home Phone	()
Email
Age (when at camp)
Date of Birth
Height	ft. in.
Weight
Position
Team Level
Insurance Carrier
Policy Number
Emergency Contact
Emergency Phone Number	()
CHILD 3
New Participant	Yes    No
	if no, list years attended
	Boy    Girl
Name
Address
City
State
Zip
Home Phone	()
Email
Age (when at camp)
Date of Birth
Height	ft. in.
Weight
Position
Team Level
Insurance Carrier
Policy Number
Emergency Contact
Emergency Phone Number	()
Acknowledgement of Risk and Release RELEASE OF LIABILITY. As a Participant and Parent of a Participant child, I hereby acknowledge and agree that hockey activities are, by their inherent nature, dangerous and represent a substantial risk of personal injury, property damage and/or death to participants. On behalf of myself and my child (identified below), I SPECIFICALLY ACKNOWLEDGE that our participation in a Hockey and Sons camp or activity, subjects me and my child to substantial and serious risk of property damage, personal injury and/or death. Recognizing such hazard and in consideration for being permitted to participate in such activities, on behalf of myself and my child, I ASSUME ALL SUCH HAZARDS AND RISKS, AND FULLY WAIVE, RELEASE AND FOREVER DISCHARGE Hockey and Sons, its officers, directors, coaches, employees, agents, and representatives, as well as all sponsors of the program, their subsidiaries and affiliated companies, and their respective officers, directors, employees, agents and representatives, from and against any and all claims, demands and liabilities which I or my child may have, now or in the future, known or unknown, foreseen or unforeseen, future or contingent, which arise or result from, or are in any way connected with our participation in the said activities. I FURTHER COVENANT AND AGREE for myself and on behalf of my child, that I will not commence or prosecute any action, suit or other proceeding against any of the parties so released and discharged.
Child's Name
Parent or Guardian
Date