Chris Limback's Hockey Development Camps, LLC

Hockey Camp Application
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Hockey Camp Application

Register by completing the form below.  Mail form and a $25 (non-refundable) check/money order to: Chris Limback, 113 Barry Street, Alpena, MI 49707.
Please note the information that you provide is solely for the use of Chris Limback's Hockey Developments Camps, LLC and is not shared or sold.

Skater's Name:
Skater's Age:
Parents'/Legal Guardians' Name:
Mailing Address (City/State/Zip):
Home Phone #:
Work or Cell Phone #:
Emergency Contact Name & Phone #:
Email:
Plase select from the following dates:

 Four Day Camp  -  Cost $210

 July 7-10, 2008

 Three Day Camp  -  Cost $160

 July 29-31, 2008

 Mini Camp  -  Cost $60

 July 29-31, 2008 (mini)
By completing this form, the participant, parent and/or legal guardian agrees that Chris Limback’s Hockey Development Camps, LLC and staff will not be held responsible for any accidents, injury or loss, however caused, and agrees to release Chris Limback’s Hockey Development Camps, LLC and staff from all claims which may arise as a result of or any reason of such accidents, injury or loss.





Name of Parent or Guardian Completing Form:
Copyright 2005 Chris Limback's Hockey Development Camps, LLC. All rights reserved.