Registration

Chris Limback's Hockey Development Camps, LLC

Application (register online or print form and mail)

Hockey Camp/Skating Clinic Registration

Register by completing the form below and/or mail form and $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 Development Camps, LLC and is not shared or sold.

Player's First Name: *
Player's Last Name: *
Player's Age: *
Address Street 1: *
Address Street 2:
City: *
State: *
Zip Code: *	(5 digits)
Parents' First Name: *
Parents' Last Name: *
Home Phone: *
Cell Phone:
Work Phone:
Email: *
Emergency Contact Name:
Emergency Contact Phone:

Clinic Options:	4-Day Camp: July 26-29, 2010 - $210
	Off./Def. Clinic: Aug 2, 3 & 5, 2010 - $60
	Skating Clinic: Aug 9, 10 & 12, 2010 - $60
Please let us know if you have a concern or question that you would like us to address.	Enter comments here!

By completing this form, the participant, parents and/or legal guardians agree(s) 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. We also understand that all fees must be paid prior to camp or player will not be allowed to participate.

Participants will receive written confirmation of the camp and details prior to the start of each camp.