2013 Brick Evaluation Camp Form
CAMP HELD @ CANLAN ICE SPORTS - YORK (989 Murray Ross Pkwy)
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Email *
Player's LAST Name *
*Child's Last Name
Player's FIRST Name *
*Not Your Name
PLAYER DOB *
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DD
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Position *
Jersey Size *
Gender *
Winter Team? *
Winter Team Level? *
This Year's Spring Team? *
Parent/Guardian Name *
Parent/Guardian Phone Number *
Emergency Contact Name *
Emergency Contact Phone # *
List Any Allergies/Comments *
By completing this form and "agreeing to terms and conditions," the Applicant acknowledges and agrees that the TORONTO BULLDOGS HOCKEY DEVELOPMENT, its proprietors and any of its representatives will not be held responsible for any accident, loss or illness (including COVID-19) however occurred and agrees to release TORONTO BULLDOGS HOCKEY DEVELOPMENT, its proprietors and any of its representatives from all claims or damage which may arise as a result of any such accident or loss. *
In the event of the inability to contact me, I hereby give you permission to seek out medical assistance my child may require attending the camp. *
Electronic Signature *
Please write in full name *(Used as Signature of Consent)
Date Signed *
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Submit
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