Participant Info:
Name *
Level of Play (During regular season) *
Date of Birth *
Gender *
Medical # (OHIP)
Medical Conditions? *
Parent / Guardian Information:
Relationship to Participant *
City *
Home Phone # *
Cell / Work Phone # *
E-Mail *
Select Week
Elite + MTC Camp July 20 – July 24, 2020
Elite + MTC Camp July 27 – July 31, 2020
August 3–7, 2020
August 10–14, 2020
August 17–21, 2020
Select Level
Regular Program – For Beginners to age 9 – 1:3 instructor ratio $549 + HST
Intermediate Program – For ages 9 and 10 – 1:3 instructor ratio $599 + HST
Advanced Level 1 – For ages 11 and 12 – 1:2 instructor ratio $799 + HST
Advanced Level 2 – For ages 13 and older – 1:2 instructor ratio $799 + HST
Elite – For ages 12 and older ( AA-AAA caliber only) – 1:2 instructor ratio $1099 + HST
Elite MTC – For ages 12 and older ( AA-AAA caliber only) – 1:2 instructor ratio $1399 + HST
Goalie Jersey Size Small (Reg/Int)Medium (Int/Advanced)Large (Advanced/Elite)XLarge (Advanced/Elite)
Hot Lunch Program ($60+HST)
Yes, Add Lunch
No Lunch
Payment Option
Full Payment
50% deposit and balance due on June 1
Payment Method:
MasterCard
Visa
EMT to ontario@goldinthenet.com
Credit Card Information:
Name of Cardholder
Card Number
Expiry Date
Waiver/Disclaimer
By registering your child you agree to the following: I agree to have my son/daughter participate in the Gold in the Net Goalie Summer Camps.
Waiver: The applicant acknowledges that participation in a hockey program involves certain risks and may result in an injury. Other than the disclosures in the application, the applicant declares to be in proper physical condition and good health to participate in the program. The applicant hereby waives all claims, rights or causes of action against Gold in the Net – Ontario, its officers, directors, employees, coaches or members, for personal injury or loss of property of any nature or kind, however or whenever sustained.
**No refunds after registration payment is received**
The applicant further agrees that Gold in the Net – Ontario may on occasion take photographs at certain events and that these pictures may be used without names to promote Gold in the Net-Ontario.
I have read and agree to the terms of the event waiver/disclaimer *
3 + 0 = ? Please prove that you are human by solving the equation *
