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KELOWNA - TWIST SUMMER 2009 HOCKEY CAMP REGISTRATION FORM

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					          KELOWNA - TWIST SUMMER 2009 HOCKEY CAMP REGISTRATION FORM

Complete this form, mail or fax to: Twist Kelowna 100 Euclid, Kelowna, BC V1X3K9 (please note, this is not the
training location – pre-opening OFFICE only)
Fax: 250-765-1220 • Method of Payment: Visa, MasterCard, or Cheque (Payable to Twist Kelowna) • Register
as soon as possible as the number of participants in each group, in each camp, is limited! • Questions? Call us
at (888) 214-4244 ext 123

SPRING PROGRAMS:
Enter the Division you played at last season: (refer to brochure or website for Divisions)
  Bantam                                A
  Midget                                AA
  Tier 2/ Jr B                          AAA
  Junior A/ College
  Female Level _____________
SUMMER PROGRMS                                                                                                                               TOTALS
Enter your Division for the Summer Programs:

  High Performance 4 Week Dryland                        $949 after July 1st • $849 before July 1st
Camp                                                     NHL – Please call for price


Weekly Full Program (Dryland ONLY):                      $299 per week
Wk 1    Wk 2     Wk 3     Wk 4                           **Week 2 =$240 (4 day week)


Pee Wee One Week Camp 97’s and
                                                         $299
98’s     Aug 10-14

TWIST DEVELOPMENT SERVICES
  1-On-1 Dryland: $75 ($70 for 4                             Testing and Functional Analysis: $225
weekers) per session                                         Individual Take Home Program: $749
All programs must be paid in full upon registration. • Cancellation Policy: No refunds 15 days prior to camp start date other
than in the event of an accident or injury. In the event of an accident or injury the athlete must provide a medical statement
and would be subject to a fee of 10% of the camp cost. All refunds are subject to a fee of 10% of your camp cost• TWIST
KELOWNA RESERVES THE RIGHT TO CANCEL THE HOCKEY SCHOOL, RE-GROUP OR RE-SCHEDULE PLAYERS
BASED ON ABILITY AND ENROLLMENT • Thank you for choosing Peter Twist’s Hockey Conditioning Camps!
                                                         SUB-TOTAL → $CDN
                                                                                                                    X 5% GST
                                                                                                               GRAND TOTAL →

 Name:                                                                                                          Date of Birth:
 Address:                                                                                                       Prov/State:
 City:                                                       Country:                                           Postal Code/ ZIP:
 Phone:                                                      Email:
 2008/09 Season Team:                                                             Position:
 Level:                                                      Height:                             Weight:                       Jersey #:
 Payment: VISA         MASTERCARD             CHEQUE         Card #                                                          Expiry:

 WAIVER: I certify that I am cognizant of all of the inherent dangers and risks associated with the participation in these programs. I agree that I shall
 provide health insurance or other applicable insurance to cover any personal injury or property damage sustained by the applicant while
 participating in Peter Twist’s Summer Hockey Conditioning Camps, and ensure that the Applicant’s training attire is in good working order. In
 consideration of the Applicant’s participation in Peter Twist’s Summer High Performance Hockey Conditioning Camps, the applicant agrees that
 Twist Conditioning Inc., Twist Kelowna, its principals, affiliates, proprietors, employees, and participants will not be responsible for any accident or
 loss however caused. I hereby release the above parties from all claims, liabilities or damages that may arise as a result of such accident or loss.

 Signature (or Signature of Parent or Guardian if under age)            X

				
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posted:3/24/2010
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