KRAKEN – 2023 Spring ID Camp Basic Info Payment Confirm Basic Info Personal Information PositionGoalieDefenceCentreWinger First Name * Last Name * Player Phone Number * Email * Player Home Address * Player Guardian Name * Player Guardian Relationship with PlayerFatherMotherGrandparentOther Player Guardian Phone Number * Player Guardian Email * Date of Birth * ShootsLeftRight Name of team played for last year * Name of Association/League played in last year * Name and contact info for Head Coach of team played for last year *Does the player have medical insurance?YesNo Name of medical insurance service provider T shirt sizeXXLXLLMS List any medical or health conditions coaches/medical staff should be aware of: *Waiver: As parent or guardian of the above named player, I (Parent / Guardian) do hereby consent to said player participating in all activities at the Lake Cowichan Kraken Junior Hockey Club 2023 Spring Identification Camp and hereby release, absolve, indemnify and save harmless the Lake Cowichan Kraken Junior Hockey Club and the VIJHL, plus both organizations' employees, officers, coaching staff, management and or volunteers, from any claims(s) which may arise as a result of his/her participation. I assume all risks and hazards incidental to the above article (activities) and do hereby waive all claims whatsoever which I or the above named player may have against the Lake Cowichan Kraken Junior Hockey Club and or the VIJHL for the insurance purposes, all players must wear full protective equipment (facial protection, etc,) equal to what they used in the 2022-2023 season. <span class='fieldReq'>*</span>I, the Player, Understand and AgreeI, the Parent / Guardian, Understand and Agree Next Payment Payment Information *Select Amount 315 CAD Payment Card ACH Debit Credit Card Add New Card Pay with Bank Account I accept the no Previous Pay $ 315 CAD Payment Successful Thank you for your purchase. Page will be redirected in 5 seconds.
