Parent/Guardian Information

Parent/Guardian 1:  
Parent/Guardian 2:
Address:  
City:  
Province:  
Postal Code:  
Phone# 1:  
Phone# 2:  
Emergency #:  
Email:  
Child Information
Name:  
Age:  
MCP#:  
Gender:
Position:
All-Star Player:
# of Years Played:    
Sweater Size:
Youths:
Adults:

Please choose a camp week:

Week 1: July 17th to July 21st, 2017 - Jack Byrne Arena
NOTE:
Group A and B for Week 1 are now full.

Group C still open.

Week 2: August 21st to August 25th, 2017 - Goulds Arena



What ability group do you think your child should participate in?

Beginner/Foundation Program (Squirt, Novice, and Atom)
Group A option for Week 1 is FULL.
Group A option for Week 2 is OPEN.

Youth Program (Atom an Pee-Wee)
Group B option for Week 1 is FULL.
Group B option for Week 2 is OPEN.

Advanced Program (Pee-Wee, Bantam & Midget)
Group C option for Week 1 is OPEN.
Group C option for Week 2 is OPEN.

Terms & Conditions

Parental/Guardian Permission: Use of Child's Image

I hereby grant unrestricted permission to Norris Power Hockey Limited to use the image of my child. In granting unrestricted permission, I understand that such use includes the display, publication, distribution, transmission, or otherwise use of photographs, images, and/or video taken of my child for use in marketing, promotional and educational materials that include, but may not be limited to, print and digital media such as brochures and newsletters, videos and digital images, and for use on the Norris Power Hockey website, Facebook page and Twitter feed. I agree that these images may be uses without further notifying me.
I agree

Please read the terms & conditions before registering. Click 'Do you agree?' at the bottom of the Terms to agree.

Release and Waiver of Liability and Indemnity Agreement (Read carefully Before Signing)

The owners, management, and staff of Norris Power Hockey Limited and the respective ice arenas, do not accept responsibility for any injury, loss damage or accident, either to person or to property incurred by anyone during the operation of Power Hockey Limited.

1. The parent(s) and/or legal guardian(s) will instruct the minor participant that prior to participating in the below activity or event, he or she should inspect the facilities and equipment to be used, and if he or she believes anything is unsafe, the participant should immediately advise the officials of such condition and refuse to participate. I understand and agree that, if at any time, I feel anything to be UNSAFE; I will immediately take all precautions to avoid the unsafe area and REFUSE TO PARTICIPATE further.

2. I/We fully understand acknowledge that: a)There are risks and dangers associated with participation of athletic activities which could result in bodily injury, partial and/or total disability, paralysis and death. b)The social and economic losses and/or damages, which could result from these risks and dangers described above, could be severe. c)These risks and dangers may be caused by the action, inaction or negligence of the participant or the action, inaction or negligence of others, including, but not limited to the Releases names below. d)There may be other risks not known to us or are not reasonably foreseeable at this time.

3.I/We accept and assume such risks and responsibility for the losses and/or damages following such injury, disability, paralysis or death, however caused and whether caused in whole or in part by the negligence of the Releases named below.

4.I/We HEREBY acknowledge that THE ACTIVITIES OF THE EVENT(S) ARE VERY DANGEROUS and involve the risk of serious injury and/or death and/or property damage. Each of THE UNDERSIGNED also expressly acknowledges that INJURIES RECIEVED MAY BE COMPOUNDED OR INCREASED BY NEGLIGENT RESCUE OPERATIONS OR PRECEDURES OF THE RELEASES.

5.EACH OF THE UNDERSIGNED further expressly agrees that the foregoing release, waiver and indemnity agreement is intended to be as broad and inclusive as permitted by the law of the Province or State in which the organization is conducting events and that if any portion is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

6.On behalf of the participant and individually, the undersigned partner(s) and/or legal guardian(s) for the minor participant executes this Waiver and Release. If, despite the release, the participant makes a claim against any of the Releasees , the parent(s) and/or legal guardian(s) will reimburse the Releasee for any money which they have paid to the participant, or on his behalf, and hold them harmless.


I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS CLICKED THE AGREE BUTTON FREELY AND VOLUNTARILY WITH ANY INDUCEMENT , ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SUBMISSION OF THIS FORM TO BE COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY, INCLUDING ANY NEGLIGENCE OF THE ORGANIZATION NAMED BELOW, TO THE GREATEST EXTENT ALLOWED BY LAW.

I agree