2024 Pasma's Hockey Development Registration
* Please complete one form per player *  

* Camps are open to boys and girls *

Please contact pasmahd@hotmail.com or 905-873-2702 if you have any questions
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Player's Last Name: *
Player's First Name:  *
Age at time of camp: *
Gender: *
Parent/Guardian First and Last Name: *
Phone Number: *
Please enter a number that can be reached during camp session.
Email Address (please make sure it is correct, as this is how we will reach out): *
Any Allergies/Medical Information:
Please select your time slot below - All camps are held at Mold-Masters Sports Plex (221 Guelph Street, Georgetown)
Cost: $350/week
Payment Terms:
Cost: $350/week. We require a $50.00 non-refundable deposit upon registration in order to reserve your spot.
Please note that without a deposit, your spot is not secured.
You will not receive an automatic confirmation upon registering. We will send you an email with more specific details prior to the start of the program. If you do have questions, please email us at pasmahd@hotmail.com. Thank you!

PHD prefers e-transfers (payment to pasmahd@hotmail.com set up with auto deposit), but will also accept cash or cheque (please contact us). NSF and stop payments are subject to a $25.00 service charge.  

Cancellation/Refund Policy: No refunds will be given once the program has started, including days missed for any reason. There may be a cancellation fee incurred should you need to cancel.
Week of August 12 - 16:
Clear selection
Week of August 19 - 23:
Clear selection
Jersey Size *
Last Skill Level Played (i.e. Houseleague, A, AA, B, etc.) and Position *
In consideration of being allowed to participate in any way in Pasma’s Hockey Development Camp or Clinics, the undersigned acknowledges, appreciates, and agrees that:The risks of injury and illness (ex: communicable diseases such as COVID-19) from the activities involved in this program is possible, and while particular rules, equipment, and personal discipline may reduce these risks, the risks of serious injury and illness do exist; and,I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately; and,I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Pasma’s Hockey Development, their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. Acknowledgement by checking the "I Agree" box, the Parties are consenting to the use of their electronic agreement in lieu of an original signature on paper. Electronic Consent. *
Required
This is to certify that I, as parent/guardian with legal responsibility for this participant, have read and explained the provisions in this waiver/release to my child/ward including the risks of the activity and his/her responsibilities for adhering to the rules and regulations. Furthermore, my child/ward understands and accepts these risks and responsibilities. I for myself, my spouse, and child/ward do consent and agree to his/her release provided above for all the Releasees and myself, my spouse, and child/ward do release and agree to indemnify and hold harmless the Releasees from any and all liabilities incident to my minor child’s/ward’s involvement or participation in these activities as provided above, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent permitted by law. I hereby authorize any images or video footage taken of my youth, to be displayed on the PHD website and other official channels, and to be used for promotional presentations and marketing campaigns. PHD is not responsible for lost or stolen articles. Acknowledgement by checking the "I Agree" box, the Parties are consenting to the use of their electronic agreement in lieu of an original signature on paper. Electronic Consent. *
Required
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