2023 Port Moody Panthers ID Camp Registration

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This camp helps the Panthers staff identify players (both as full-time and affiliates) for the 2023-24 season and beyond.

Forwards and defensemen born between 2003 and 2007 are invited to register.

Date: May 30 - June 1, 2023

Time: Tues/Wed (9:00 - 10:00 pm) / Thurs (8:00 - 9:00 pm)

Location: Planet Ice Coquitlam, 2300 Rocket Way, Coquitlam, BC

Fee: $275 (including tax)

Please e-transfer the fee amount to media@portmoodypanthers.com

Registration is not confirmed until fees are paid in full. You will receive an email confirming your registration is complete.

First name *

Last name *

Player birthdate *

年

月

日

Primary family phone number *

Emergency contact name *

Emergency contact phone number *

2022-23 team *

Position (choose one) *

Forward

Defense

必填

Please describe what type of player you are. *

Prior to May 26, 2023, refunds are ONLY granted for cancellation due to inability to participate for medical reasons. A physician's letter is required in ALL circumstances.

Regardless of circumstances, absolutely no refunds are granted after May 26, 2023. Other than cancellation for medical reasons as defined above, no refunds will be granted. *

I, the participant, have read, understand, and agree to the above refund policy.

I, the parent / guardian of the participant, have read, understand, and agree to the above refund policy.

必填

In consideration of the participant and his/her parent/guardian being permitted to register the participant, and participate in any activities organized by the Port Moody Panthers Junior Hockey Club, we hereby forever release and discharge the Port Moody Panthers and their directors, agents, employees and any person or corporation connected herewith from all the manner of action, injury, loss, damages, costs, claims or demands which we shall or may hereafter have, suffer or receive by reason of such participation in the camp. The release shall be binding on our heirs, assigns, executors and administrators. It is agreed that the Port Moody Panthers Junior Hockey Club does not and shall not be considered to guarantee or warrant such equipment in the conducting of the said camp. It is further agreed the Port Moody Panthers Junior Hockey Club is not responsible for lost hockey equipment. *

I, the participant, have read, understand, and agree to the above waiver.

I, the parent / guardian of the participant, have read, understand, and agree to the above waiver.

必填

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