AYR CENTENNIALS-SPRING 4 ON 4 REGISTRATION
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AYR CENS ALUMNI SPRING
4 ON 4 REGISTRATION
8 Weeks starting starting April 9
Times depending on age group...will be similar to last year. Age for registration will be the age that your child is currently playing at.
Cost- $160
Goalie Rates-$95
Registration
Name_________________________________________
Year Born______________________________________
Age Group (please circle below)
Nov Atom Peewee Bantam/MM Adult
Goalie? Yes No (please circle)
Health Card #___________________________________
Parent/Guardian_________________________________
Waiver Form: I agree that this registered player is physically fit to
participate in this program and has no medical conditions which restrict their participation. I further agree that participation in this spring hockey exposes the participant to significant risks of personal injury. As the parent or legal guardian of the player, I am aware of the risks,
Parent Signature________________________________________
Please Print this form and give to Jay Purdon, Tim Barrie, Scott Eby, or Dave Trussler along with a cheque made out to Ayr Cens Alumni. Please do not hand in form without payment.
Questions please email[email protected]
Ayr Cens Alumni are not for profit and all funds support Ayr Cens Jr C Hockey Club
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