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Registration Form 2010
Please review the Getting Ready for Camp Package (copy available on www.learnhockey.com) for complete camp details.
Camper/Family Information
Attended in 2009: *
Yes
No
If Yes, please identify Camper ID#
Do Not Know Camper ID#
* M
F
Last Name
First Name
Mailing Address
City
Prov./State
Postal/Zip Code
Home Phone Number
Parent/Guardian #1
First
Last
Cell Phone:
Work Phone:
(parent completing registration form - contact where camp receipt and email communications will be addressed to)
Email Address:
Parent/Guardian #2
First
Last
Cell Phone:
Work Phone:
Emergency Contact (in case parent/guardian not available)
Relationship
Phone:
Background (Important! In order to accurately assign group, please complete fully)
Age at Camp
Year of Birth *
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
Current Grade in School
Height (ft.in)
Weight (lbs)
Hockey Program Participants:
Position at Camp
(check one)
FWD/DEF
GOAL
Jersey Size
(check one)
YXL (44")
AS (48")
AM (50")
AL (52")
AXL (54")
Current Level of Play (i.e. House League, Select, Travel / Rep, etc.)
If you attended in 2009, what section were you assigned to?
Canadiens
Leafs
Red Wings
Senators
Intermediate
Senior
How did you hear about HOC?
Friend
Arena Poster
Internet
Ad/Publication
OCA
Other
Cabin Assignments (please review if participating in resident program)
Every effort will be made to bunk friends together. Please note that children are assigned cabins based on the same skating group. Campers in groups will be assigned according to Group Summary Sheet submitted by Group Coordinator.
Part of Group:
See Group Summary Sheet for
cabin assignment requests.
OR
See list of preferred cabin partners below: Note: 5 + campers may be divided among two cabins
Camp Dates
WEEK 1 (July 4 - July 10)
WEEK 2 (July 11 - July 17)
WEEK 3 (July 18 - July 24)
WEEK 4 (July 25 - July 31)
WEEK 5 (Aug. 1 - Aug. 7)
WEEK 6 (Aug. 8 - Aug. 14)
WEEK 7 (Aug. 15 - Aug. 21)
WEEK 8 (Aug. 22 - Aug. 28)
Camp Programs, Rates & Discounts (weekly rates listed in Canadian $ and do not include Tuck Shop Fee)
Program Type
NEW!!! Rates (CDN) listed below based on registrations after May 1st, 2010 and include Camp Fee + 13% HST taxes.
Resident Hockey Program:
•Six (6) day stay at camp including room & board
•Hockey instruction and ice time daily
•Two (2) camp activities daily* (M-F)
•Weekend programming for children staying
more than one week
Single Early Rate - Register before March 1st
$780.00 + $62.40 =
$842.40
Single Regular Rate - Register after March 1st
$788.50 + $102.50 =
$891.00
Family/Multiple Week Rate - parents sending more than one child or sending child for more than one week.
No deadline
.
$716.81 + $93.19 =
$810.00
Group Rate - 5 or more children registering together are eligible.
ALL Registrations must be sent in the same envelope w/ Group Summary Form to qualify for rate. No exceptions.
$692.92 + $90.08 =
$783.00
Ice Only + Camp Program:
•Hockey instruction and ice time (identical programming schedule to resident hockey program)
•Two (2) camp activities daily* (lunch provided). (M-F)
•Campers responsible for overnight accommodation and transportation to and from camp and/or arena
$506.55 + $65.85 =
$572.40
Ice Only Program:
(Tuck Shop Fee included in Camp Fee)
•Hockey instruction and ice time (identical programming schedule to resident hockey program)
•Campers responsible for accommodation, meals and transportation to and from the arena
$324.96 + $42.24 =
$367.20
Resident Camp Only Program:
•Six (6) day stay at camp including room & board
•Three (oldest two sections) or Five (youngest
four sections) camp activities daily* (M-F)
•Weekend programming for children staying 1+ week
Single/Family/Multiple Week Rate
$583.01 + $75.79 =
$658.80
Group Rate - 5 or more children registering together are eligible.
ALL Registrations must be sent in the same envelope w/ Group Summary Form to qualify for rate. No exceptions.
$563.89 + $73.31 =
$637.20
Leader in Training (LIT) Program:
See HOC website for details - Age Restricted and Application Required
$315.40 + $41.00 =
$356.40
*Campers are guaranteed one of their top two activity choices and given their second or third choice based on activity demands.
Week / Program / Rate Selection
Week Number
Program Type
Rate Selection
Week 1 (July 4 - July 10)
Select Program
Resident Hockey Program
Ice Only + Camp Program
Ice Only Program
Resident Camp Only Program
Leader in Training Program
Week 2 (July 11 - July 17)
Select Program
Resident Hockey Program
Ice Only + Camp Program
Ice Only Program
Resident Camp Only Program
Leader in Training Program
Week 3 (July 18 - July 24)
Select Program
Resident Hockey Program
Ice Only + Camp Program
Ice Only Program
Resident Camp Only Program
Leader in Training Program
Week 4 (July 25 - July 31)
Select Program
Resident Hockey Program
Ice Only + Camp Program
Ice Only Program
Resident Camp Only Program
Leader in Training Program
Week 5 (Aug 1 - Aug 7)
Select Program
Resident Hockey Program
Ice Only + Camp Program
Ice Only Program
Resident Camp Only Program
Leader in Training Program
Week 6 (Aug 8 - Aug 14)
Select Program
Resident Hockey Program
Ice Only + Camp Program
Ice Only Program
Resident Camp Only Program
Leader in Training Program
Week 7 (Aug 15 - Aug 21)
Select Program
Resident Hockey Program
Ice Only + Camp Program
Ice Only Program
Resident Camp Only Program
Leader in Training Program
Week 8 (Aug 22 - Aug 28)
Select Program
Resident Hockey Program
Ice Only + Camp Program
Ice Only Program
Resident Camp Only Program
Leader in Training Program
Tuck Shop
Resident Hockey / Ice Only + Camp
(Tuck fee includes a
hockey jersey. Please complete
size requirement on front of form)
$30.00 X
Weeks
$
Resident Camp Only / Leader in Training
$20.00 X
Weeks
$
Will pay Tuck Shop Fee at check in
T-Shirts
(optional)
T-shirt measurement in inches (width x length). Enter quantity required beside desired sizes
YL (19" x 25")
YXL (20" x 26.5")
AM (20" x 29")
$
AL (22" x 30")
AXL (24" x 31")
$25.00 each
Discounts/Credits Applied
Please indicate the amount and reason of any discounts/credits to be applied to registration form. Examples include group coordinator discount or credit from previous years.
Reason
Subtract
$
Note: All yellow items or items with a * beside them must be filled out completely for submission
