- 2009 Peak Hockey Camps Registration Form -

Use Peak Hockey's Online Form To Reserve Your Spot In Camp!


Campers Full Name:
Date of Birth:
Age:
Gender:   Male Female
Address:
City:
State/Province:
Country:
Zip/Postal Code:
Daytime Phone:
Home Phone:
FAX:
Email:
Parents Names:
Roommate Requested:
Insurance Carrier:
Policy Number:

Jersey Size:

PLAYER: Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL
PARENT: Adult Small Adult Medium Adult Large Adult XL

(Please note that the size that you circle will be the size that you receive upon check-in. Parents who attend camp will also receive a jersey)

PARENTAL CONSENT: I have read the brochure and application and agree to the terms and conditions herein. I certify that the questions on the application have been answered correctly. I hereby give my consent for my child to participate in the programs operated by Peak Performance Hockey Camps and/or its proprietors. I further agree that Peak Performance Hockey Camps will not be held responsible for any accidents, injury or loss, however caused, during the hockey school session attended by my child. This is also my written permission to have my child admitted, and attended to, for medical or dental treatment in case of sickness or injury.

Click here if you agree:

2009 Summer Camp Sessions

MITE & (PARENT OPTIONAL) CAMP (AGE APPROX. 5-8 YRS) --- $1,095

JUNE 21 - 27

JULY 12 - 18

SQUIRT & (PARENT OPTIONAL) CAMP (AGE APPROX. 8-10 YRS) --- $1,095
JUNE 28 - JULY 4
JULY 12 - 18

PEEWEE & (PARENT OPTIONAL) CAMP (AGE APPROX. 10-12 YRS) --- $1,095
JUNE 28 - JULY 4
JULY 12 - 18

BANTAM & (PARENT OPTIONAL) CAMP (AGE APPROX. 12-14 YRS) --- $1,095
JUNE 28 - JULY 4

SQUIRT CAMP (AGE APPROX. 8-10 YRS) --- $795
JUNE 28 - JULY 4
JULY 5 - 11
JULY 12 - 18

PEEWEE CAMP (AGE APPROX. 10-12 YRS) --- $795
JUNE 28 - JULY 4
JULY 5 - 11
JULY 12 - 18
JULY 19 - 25
JULY 26 - AUGUST 1
AUGUST 2 - 8

BANTAM CAMP (AGE APPROX. 12-14 YRS) --- $795
JUNE 28 - JULY 4
JULY 5 - 11
JULY 19 - 25
JULY 26 - AUGUST 1
AUGUST 2 - 8

MIDGET/H.S CAMP (AGE APPROX. 15-16 YRS) --- $795
JULY 26 - AUGUST 1
AUGUST 2 - 8

GIRLS CAMP (AGE 12 & UNDER) --- $795
JUNE 21 - 27

GIRLS CAMP (AGE 13 & ABOVE) --- $795
JUNE 21 - 27

JULY 19 - 25

CHECK HERE FOR SINGLE BOARDING PLAYER --- $795

PLAYER/PARENT BOARDING --- $1,095

PLAYER NON-BOARDING --- $675

PLAYER/PARENT NON-BOARDING --- $920

GOALTENDER BOARDING RATE --- $645

GOALTENDER NON-BOARDING RATE --- $525

GOALTENDER/PARENT BOARDING RATE --- $945

GOALTENDER/PARENT NON-BOARDING RATE --- $795

AIRPORT PICK-UP ($55.00 IF NEEDED from LaCrosse, Wisconsin)

SATURDAY NIGHT STAY $80.00 (IF NEEDED)

CANCELLATION INSURANCE $40.00 (IF NEEDED)

CANCELLATION POLICY:

With Cancellation Insurance ($40 fee): Receive a full cash refund prior to May 15, 2009. Cancellations after May 15, 2009 will receive a full letter of credit. Cancellations within 14 days of camp session will receive a letter of credit less $100.
Without Cancellation Insurance: Cancellations prior to May 15, 2009 will receive a cash refund less 25%. Cancellations after May 15, 2009 will receive a letter of credit less 25%. Cancellations within 14 days of camp session will receive no refund.
If you get sick or are injured while at camp, you will receive 50% of the unused portion of your camp fees in a letter of credit for a 2009 camp session.

CHOOSE YOUR METHOD OF PAYMENT:

CHECK (If paying by check, print and mail in this form.)
VISA
MASTERCARD
50% Deposit (Registrations after April 15th must be paid in full)
Full Payment

Amount to be charged to Credit Card: $

CARD HOLDER NAME:
CARD NUMBER:
EXP DATE:


REMIT CHECKS TO:
PEAK PERFORMANCE HOCKEY CAMPS

P.O. BOX 1156
Winona, Minnesota 55987

Additional Comments:


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