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2021 Andrews Hockey Personalized Performance Summer Program Registration
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* Indicates required question
Email
*
Your email
Player Name
*
Your answer
Player Birth Year
*
Your answer
Parent (s) Name (s):
*
First & Last Names (List Names)
Your answer
Emergency Contact Number
*
Please Provide Area Code- Mobile Preferred
Your answer
Home Address:
*
Your answer
City:
*
Your answer
Province/ State:
*
Your answer
Postal Code/ Zip Code:
*
Your answer
Training Location:
*
Charlottetown
Program Type:
*
Please Select One option from the list below (for full details refer to the Program Descriptions)
Choose
Personalized Development
Comprehensive Development
On-Ice Exclusive
Comprehensive Development:
If you selected the Comprehensive Development program, please select ALL sessions you would like to participate in (must participate in 3x, 4x, or 5x off-ice training sessions):
2 on-ice skills sessions per week ($40 + HST per week)
1 summer league game per week ($20 + HST per week)
2 off-ice training sessions per week ($40 + HST per week)
3 off-ice training sessions per week ($60 + HST per week)
4 off-ice training sessions per week ($80 + HST per week)
5 off-ice training sessions per week ($100 + HST per week)
On-Ice Exclusive:
If you selected the On-Ice Exclusive program, please select ALL sessions you would like to participate in:
2 on-ice skills sessions per week ($60 + HST per week)
1 summer league game per week ($20 + HST per week)
Weeks of Attendance:
*
Please Select all weeks that you will be in attendance for the program:
July 5-9, 2021
July 12-16, 2021
July 19-23, 2021
July 26-30, 2021
August 2-6, 2021
August 9-13, 2021
August 16-20, 2021
August 23-27, 2021
Required
Current Team:
*
Your answer
Previous Injuries/ Health Concerns:
*
Please list any injuries that may need to be considered when generating a personalized training plan.
Your answer
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