2011 REGISTRATION
Next Level Hockey - Get Better or Get Beaten!

  
 STEP 1. CLINIC INFORMATION

 Click Here to view clinic Dates and Schedules

 Clinic Selection
 (You must choose one)

 View Clinic Dates

 STEP 2. This section does not apply to Stick Handling/Shooting and Forward Defense Clinic. Proceed to Step 3.

 

Date Selections
- 4 week program
- All day camp 1 week
- All day camp 4 week
- Per Session

Select the dates you will be
attending if you are signing up
for the for the 4 week program,
one of the all day camps or the
per session camps

 
 Week 1 June 21 & 23
 Week 2 June 28 & 30
 Week 3 July 7 & 12
 Week 4 July 19 & 21
 Week 5 July 27 & 28
 Week 6 August 2 & 4
 Week 7 August 9 & 11
 Week 8 August 16 & 18
   
 Lunch Option Applicable for all day clinics only
 STEP 3. PERSONAL INFORMATION
 Guardian Name
 Address
 City / State / Zip Code
   
 Daytime Phone
 Cell Phone
 Email Address
   
 Participants Name
 Participants Date of Birth
 Association Name
   
 Participants Jersey Size  Does not apply to Stick Handling/Shooting and Forward Defense Clinic.
 COMMENTS
 Comments, concerns or any additional information you would like to provide.