Langley Twin Rinks 10:30AM-12:00PM
o Nov.4/07-Dec.2/07
o Jan.6/08-Feb.3/08
o Feb.17/08-Mar.16/08
o Mar.30/08-Apr.27/08
o May 11/08-June 8/08
o Global Scouting Preparation Camp - Burnaby 8 Rinks
Contact Information
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Registrants Information
Students Name:
Date of Birth:
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| Level Currently Playing: |
| Medical History (past injury, allergies, chronic illness): |
Email:
Yes please send me program and information updates.
Rescheduling and Cancellation policies:
Veit Goaltending Instruction reserves the right to reschedule or regroup players according to enrollment and availability. A full letter of credit will be issued upon cancellation if notified prior to 14 days before commencement of class.
Please FAX this form to our office to register (604-533-9627)
We will contact you to confirm and arrange payment.
You may contact us at veitgoaltending@shaw.ca
Veit Goaltending Instruction Inc.
Telephone.(604) 533-9625
Fax (604) 533-9627
Unit 16
6450 - 199th St.
Langley, B.C. V2Y 2X1
Please Print this page, sign and fax to our office at (604)533-9627
I the undersigned, agree that Veit Goaltending Instruction, it's instructors, the hockey complex and it's employees will not be held liable or held responsible for any accidents or loss however caused and I agree to release all mentioned parties from all claims and damages. I further verify that I or my child or my Ward have no medical problems and is in good physical health and the above mentioned parties will not be responsible for any medical, dental or insurance claims resulting from injury.
SIGNATURE of PARENT or
GUARDIAN_______________________________
