Name

Address

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Doctor Name

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Allergies/Medical Conditions/Notes

Medical #

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Program Information

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3 Day-Thompson,MB(Jan22-24),$295(CDN)4 Day-Chippewa Falls,WI(Jun21-24),$470(US)4 Day-Brookings,SD(Jun28-Jul01),$470(US)4 Day-Alexandria,MN(Jul26-29),$470(US)5 Day-Thunder Bay,ON(Aug03-07),$550(CDN)5 Day Elite-Dutton,Winnipeg,MB(Aug10-14),$650(CDN)4 Day Goalie-Vermillion Bay,ON(Aug17-20),$450(CDN)4 Day Defenceman-Vermillion Bay,ON(Aug17-20),$450(CDN)5 Day-Varsity View,Winnipeg,MB(Aug23-27),$560(CDN)5 Day-Defenceman Mini-Camp-Varsity View,Winnipeg,MB(Aug23-27),$240(CDN)4 Day-Varsity View,Winnipeg,MB(Aug31-Sep03),$450(CDN)4 Day-Defenceman Mini-Camp-Varsity View,Winnipeg,MB(Aug31-Sep03),$180(CDN)5 Day-Moose Plex,Winnipeg,MB(Sep07-Sep11),$325(CDN)3 Day-Niverville,MB(Oct08-Oct10),$350(CDN)3 Day-Thief River Falls,MN(Oct14-Oct16),$350(US)3 Day-Thompson,MB(Oct29-Oct31),$325(CDN) 

Personal Information

Goaltending Experience (years)

Height

Weight

Age (As of July 1)

Sex (M/F)

PLEASE NOTE

1) Payment for all Sessions is via PayPal (PayPal is a secure E-Commerce Site). PayPal accepts all major credit cards. You do not require a PayPal account in order to make a payment thru their website!

2) GST will be charged on all Canadian Sessions when processing your Credit Card