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Sylvan Lake/Jasper Application Form

4823 -48 Street, Sylvan Lake, Alberta, Canada T4S 1M6
Phone: 403-887-2575 Fax: 403-887-3450

2008 Application Form

Name:

Parent/Guardian Name:

Address:

City,Province:

Postal Code:

EMail Address:

Birthdate:

Phone:
Home: Work:

Preferred Position

Height:Weight:

Please include a $100.00 non-refundable deposit for each session reserved.

If paying by VISA or MasterCard please contact our office directly.

Medical Insurance Number:

List any medical information:

Have you attended the Sylvan Lake/Jasper Summer Hockey Camp before? Yes

If yes, how many years?

How did you find out about the Sylvan Lake/Jasper Hockey Camp?

Should you wish to register for any combination of weeks in either Sylvan Lake or Jasper simply check the appropriate boxes.

SYLVAN LAKE HOCKEY CAMPS (full program for all positions, including Goaltender(s)). Please check sessions you wish to reserve in 1st choice boxes.

Check here if you are applying for the Sylvan Lake Hockey Camp? Yes

First choice:

Second choice:

ROOM & BOARD REQUIRED at Sylvan Lake? Please check: Yes

Specialty Clinics / Contact Confidence 1 evening - 1 hour

*The Contact Confidence Clinics are only offered in Sylvan Lake.

JASPER HOCKEY CAMPS (full program for all positions, including Goaltender(s)). Please check sessions you wish to reserve in First Choice boxes.

Are you applying for the Jasper Hockey Camp? Yes

First Choice:

Second Choice:

ROOM & BOARD REQUIRED at JASPER? Please check: Yes

SYLVAN LAKE GOALTENDERS SCHOOL

Are you applying for the Goaltender's CampYes

First Choice:

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Contact the Office at 403-887-2575 to Provide Deposit Information

Sylvan Lake/Jasper International Summer Hockey Camp
4823 - 48th Street,
Sylvan Lake, AB, Canada T4S 1M6
Phone: 403-887-2575 Fax: 403-887-3450

Website:www.sylvanlakehockey.com
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