Excel Hockey School Application Form

Name:
Address:
City/Town:
Postal Code: Telephone:
E-mail:
Age: Birth Date:  (m/d/y)
Level & Tier Played Last Year:
Position: Defence: Forward: Goalie: 
Hospitalization Number:

SESSION SELECTED (Please Check)

Excel Day School (Monday August 4- Saturday August 9)

A. 7 + 8 yrs (Novice) 8:30 am-1:30 pm & Sat. Game
B. 9 + 10 yrs (Atom) 9:00 am - 2:00 pm & Sat. Game
C1. 5 + 6 yrs (Initiation) 10:15 am - 3:15 pm & Sat. Game
C2. 13 + 14 years (Bantam adv.) 10:15 am - 3:15 pm & Sat. Game
D1. 11 + 12 yrs (Peewee) 10:45 am - 3:15 pm & Sat. Game
D2. 11 + 12 yrs (Peewee adv.) 10:45 am - 3:15 pm & Sat. Game
E. Bantam Prep Camp 13 + 14 years (Aug. 18-22) 5:15 - 6:45 pm
F. PeeWee Prep Camp 11 + 12 years (Aug. 18-22) 5:15 - 6:45 pm
G. Atom/PeeWee Checking Camp (Aug. 18-22) 7:00 - 8:30 pm
H. Goalie Special (A, B, C, D, E, F, G) Circle one

PAYMENT

A minimum $100 down payment is required - cheques are payable to "Excel Hockey Programs".

Amount Included: Cash Cheque M.O. 

WAIVER

This applicant, his or her parents, or guardians agree the Excel Hockey Programs" and its instructors will not be held responsible for any accident or loss, however caused, and agree to release the proprietors from all claims and damages.

Parent/Guardian Signature:
Date:  (m/d/y)

Please mail application and payment to:

Excel Hockey Programs
411 Trotchie Crescent
Saskatoon, SK S7K 7W2