English - pdf - Department of Recreation and Athletics - Concordia by liwenting

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									                                                                             For additional information or to register contact
                                                                                       Les Lawton at 514-848-2424, ext. 3866
                                                                         Fax: 514-848-8637 • Email: les.lawton@concordia.ca




 CONCORDIA BOYS AND GIRLS
 HOCKEY SKILLS CAMP
 LEARNING THROUGH FUN                                           REGISTRATION FORM
                                                                Name:
                       THE PROGRAM                              Date of birth (DD/MM/YYYY):

$240
  tax included
                       •
                       •
                           Forward skating techniques
                           Backward skating techniques
                                                                Telephone:
                                                                E-mail address:
                                                                Address:
                       •   Shooting (wrist shot and slapshot)
 for 10-week session   •   Puck-handling and puck control
 sweater provided      •   Passing skills and much more         City:                       Postal code:

                       TWO SESSIONS                             Session                     Medicare #:
                       Oct. 23 to Dec. 18, 2013                         Oct. to Dec. 2013                  Group 1             Group 2
                       Jan. 15 to March 19, 2014                        Jan. to March 2014                 Group 1             Group 2

                       TIME & PLACE                             I hereby authorize the staff of the Concordia Boys and
                       Wednesday nights                         Girls Hockey Skills Camp to intervene and provide first
                       Group 1 - 5:30 to 6:45 p.m.              aid in case of injury or illness.
                       Group 2 - 6:45 to 8 p.m.
                       Concordia Ed Meagher Arena               Signature:
                       7200 Sherbrooke St. West
                                                                Date:                                          , Montreal.
                       REGISTRATION                             Please send registration form with a cheque or a money order
                       The cost is $240 a session, which        made out to Concordia University to: Dept. of Recreation and
                                                                Athletics, Concordia University, Att: Les Lawton, 7141 Sherbrooke
                       includes a hockey camp jersey.
                                                                St. West, Montreal, Que., H4B 1R6.
                       The deadlines to register are
                       Oct. 1, 2013 and Jan. 8, 2014.
 Camp staffed
by Stinger
varsity players
                                                                 The Concordia Boys and Girls Hockey Skills Camp reserves the right to use any
                                                                      picture and/or video taken during the program for promotional purposes.

								
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