HS Prep Camp Registration Form

Your Name (required)

Your Email (required)

Your Birthdate (required)

Your Address (required)

Your Postal

Your Phone #(required)

Your Position

Disclaimer:

FOR VALUABLE CONSIDERATION THE RECEIPT WHEREOF IS HEREBY ACKNOWLEDGED THE UNDERSIGNED DOES HEREBY FOR HIMSELF,HERSELF, HIS HEIRS, EXECUTORS, ADMINISTRATORS, SUCCESSORS, AND ASSIGNS RELEASE AND FOREVER DISCHARGE THE ST. JAMES JUNIOR CANUCKS HOCKEY CLUB INC. FROM ANY AND ALL ACTIONS CAUSES OF ACTION CLAIMS AND DEMANDS FOR UPON OR ANY REASON OF ANY DAMAGE, LOSS OR INJURY TO PERSON AND PROPERTY WHICH HEREFORE HAS BEEN OR HEREAFTER MAYBE SUSTAINED IN CONSEQUENCE OF THE UNDERSIGNS PARTICIPATION AT THE ST. JAMES JUNIOR CANUCKS HOCKEY HIGH SCHOOL PREP CAMP.

Parent or Gaurdian

I have read and accept the above disclaimer