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For additional information or to register contact Les Lawton at 514-848-2424, ext. 3866 Fax: 514-848-8637 • Email: firstname.lastname@example.org 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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