If you are interested in registering for any HHTD program please fill out the application and send payment to HHTD to hold a spot for your player. Any payments made after June 25 for 2010 summer programs, please add 8% tax to the registration fee.

If you have any questions about any of the HHTD programs please contact:

• Jamie Israel - jisrael@hhtd.ca
• Tyler Ertel - tertel@hhtd.ca
• Mike Torchia - mtorchia@hhtd.ca

DOWNLOAD - HHTD 2010 REGISTRATION FORM

* Registration form is in pdf format and can be openned with Acrobat Reader or any other pdf software. For a free pdf viewer download Foxit Reader - small and fast pdf reader.

Quick and easy way to register for any HHTD program. Fill out all details below and send your information to Hometown Hockey. After completing the online registering form, send payment to HHTD. Once payment has been received and deposited, your spot in the chosen program is confirmed.

Registering Program

Please select a program HHTD Fall and Winter Player Development Program - Oct to Dec - $240.00 HHTD Fall Shooting and Stick Handling Program - Oct to Dec - $240.00 Hockey Camp - August 16-20 - P/$405 - G/$513 - FULL Hockey Camp - August 23-27 - P/$405 - G/$513 - FULL Hockey Camp - August 30 to September 3 - P/$405 - G/$513 Body Checking Clinic 1 - August - $172.80 - FULL Body Checking Clinic 2 - August - $172.80 - FULL Individual Session(s) Team Session

2010 Summer Camp Meal Plan (For full week camps only)

Yes, I would like my child to receive the meal plan

No, Thank you

Player Information

Players name:
Date of Birth (mm/dd/yyyy):
Age:	- Select One - 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 >19
Gender:	Male Female
Position:	Forward Defence Goaltender
Number of years played:	- Select One - 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
Current / Recent Team Name:
Level last played?	HL / Select MD A AA AAA
Shoots:	Left Right

Contact Information

Parents name:
Mailing Address:
Home Phone (###-###-####):
Cell Phone (###-###-####):
Work Phone (###-###-####):
Email Address:
Confirm Email Address:

Medical

Family Doctor:
Emergency Contact Name:
Relationship:
Emergency Phone (###-###-####):
Medical Conditions:

Payment Arrangements

Type / Method of Payment:

Please select a method of payment Cheque - Full Payment - postdated on program start date Cash - Full Payment - due before program start date Cheque-50% at registration, 50% postdated on program start date

( All taxes included )

CONSENT: I give my child consent to participate in all on-ice and off-ice activities offered by Hometown Hockey Training and Development Inc’s hockey school and agree that the school (Owners and staff) connected herewith from all manner of action, injury, loss, damages, costs, however caused by participation in this program on or off and agrees to release Hometown Hockey Training and Development Inc. and the staff from all claims or damages which as a result of or by reason by such accidents or loss. This release shall be binding on our spouses, executors, and heirs. I understand that all participants must wear full CHA approved hockey equipment during all on ice activities.

YES, I Agree

To submit this form, please enter the characters you see in the image below, to reload new letters, please refresh the page:

*Note: By submitting this form electronically the registerer acknowledges that they have read and agree with the terms & conditions of ALL HHTD policies, including but not limited to the cancellation policy.