Registration Form

Hockey School: August 31 - September 4, 2009

Cost: $199 (Tax included)

Name:
Age:
Birth Date:
Address:

Telephone:
Parent / Guardian:
Special Medical Conditions:
Camp Choice
Position Played
e-mail address
Amount included

Robert MacDonald: (506) 523-1128(H)

Danny Scully: (506) 523-7221(H) or (506) 523-7970(W)

Please note that this camp is the only one being offered this summer by Southeast Hockey Development.

Payment Information:

Certified Cheque or Money Order for $100 deposit or full amount of:

Hockey School: $199.00 (tax included)

Cheque payable to:"Southeast Hockey Development"

Southeast Hockey Development, 26 Albany Road, Rexton, NB Canada E4W 1V3

I/We do herby release the Southeast Hockey Development Group, It's Officers, employees and agents from all liability, claims, causes of action of any kind whatsoever, in respect of damages I/MY child may suffer as a consequence of my child sustaining personal injury, death or property damages while participating in programs and activities of the Southeast Hockey Development Group. I agree to indemnify and hold harmless Southeast Hockey Development from any claims.

Saturday, April 10
8:00am 1999 V-Reds Reg V-Reds Shediac
8:00am 2002 NS SELECTS EXPRESS COCAGNE
9:20am 2002 V-REDS CATS COCAGNE
9:20am 1997 Cats NS Selects SHEDIAC
10:45am 2000 CATS V-REDS Shediac
10:45am 1999 Express NS Selects COCAGNE
12:05pm 2000 SE Selects NS SELECTS Shediac
12:05pm 1998 NS SELECTS V-Reds COCAGNE
1:30pm 1998 Cats Express Shediac
1:30pm 1997 V-Reds NS Selects COCAGNE
2:50pm 1999 NS SELECTS V-Reds Reg. COCAGNE
2:50pm 1999 Express NB Ice Shediac
4:15pm 2002 4TH PLACE 3RD PLACE COCAGNE
4:15pm 2000 4TH PLACE 3RD PLACE Shediac
5:45pm 2002 2ND PLACE 1ST PLACE COCAGNE
5:45pm 2000 2ND PLACE 1ST PLACE SHEDIAC
7:15pm 1998 Cats NS Selects SHEDIAC
7:15pm 1998 V-Reds Express COCAGNE
8:35pm 1997 Cats V-Reds Shediac
Sunday, April 11
8:00am 1999 V-Reds NS Selects Cocagne
8:00am 1999 V Reds Reg NB Ice Shediac
9:30am 1998 V-Reds Cats Cocagne
9:30am 1997 NS Selects Cats Shediac
11:00am 2001 Express #1 Express #2 Cocagne
11:00am 1998 NS Selects Express Shediac
12:20pm 2001 Cats Kent Commandos Cocagne
12:20pm 1997 V-Reds NS selects Shediac
1:50pm 1999 2nd place 1st place Cocagne
1:50pm 1998 4th Place 3rd place Shediac
3:15pm 1997 V-Reds Cats Shediac
3:15pm 2001 4th Place 3rd place Cocagne
4:45pm 2001 2nd place 1st place Cocagne
4:45pm 1998 2nd place 1st Place Shediac
6:05pm 1997 2nd place 1st place Cocagne

Southeast Hockey Development
26 Albany Road, Rexton N.B. E4W 1V3
Phone: (506) 523-7221 , (506) 523-7970 or (506)523-1188

Email: info@juniorwildcats.ca