Pittsford Hockey Camp @ RIT Ritter Arena | info@pittsfordhockeycamp.com
Pittsford Hockey Camp
Pittsford Hockey Camp

August 6-9, 2018 Ritter Arena - RIT

Entering 5th-8th grade

On Ice 12:30-2:00pm
Off Ice 2:30-3:30pm

Hockey Player Registration Information
Session Selection
Player First Name
Player Last Name
City St Zip
Age Grade Entering Jersey Size
Current Team
School District

Parent First Name
Parent Last Name
Parent Phone
Parent Cell
Email Address

Emergency Contact First Name
Emergency Contact Last Name
Emergency Contact Phone
Emergency Contact Cell

Payment Information
PayPal Account
NOTE: This information will identify payment for this registration. Please type the PayPal account holder. If you do not have a free PayPal account, then enter the name on the credit/debit card of the person that is paying. If paying by check, enter PAYING BY CHECK in leu of the PayPal account info.

Other Comments
Photo Releases: I give permission for Pittsford Hockey Camp to use any photographs, digital images, videotapes, DVDs, film, CDs or audio recordings. These items may be used for any reasonable purposes, including but not limited to, Promotional, Fundraising, Advertising, and/or Educational purposes, and need not include the child’s name or any information about him/her. I waive the right to inspect and/or approve the appearance or use of the above-referenced items.

Parent or Guardian