Application form

Camp

Camp 1:
Camp 2:
Camp 3:
Camp 4:
Adult Camps: Fall, Spring, Summer:
Goalie Camps:

Player

* firstname:		* surname:
* street:		* city:
* zip:
* country:

* e-mail:
phone:		cell phone:
* birthday:
weight:		height:
position:

jersey size:
roomate:
level:

How did you hear about the camp

Other information

Please, fill up following information:

Your club, league website address:
Your team website address:
Your coach name and his email:
Your favorite hockey websites:

Comment

Fill up only if parents need accommodation in camp!

parents and family

firstname:		surname:
street:		city:
zip:
country:

e-mail:
phone:		cell phone:
hotel:

2nd parent or family member

firstname:		surname:

3rd parent or family member

firstname:		surname:

* Required items.

I agree that the hockeycamp and/or the staff, coaches and employees will not be held responsible for any accidents or loss of personal property. We have read the above, and have explained its meaning to our son/or doughter, and agree to the terms and conditions as stated. We the parents give our consent to his/her participation in CZECH INTERNATIONAL HOCKEY CAMP.