Theo Fleury 14 Fantasy Hockey Camp

This is the perfect Valentine’s gift

for the person in your life who loves hockey, is a life-long student of the game and of life, and wants to see just how far they can develop their skills.

The total cost of the Fantasy Camp is $7,414.00 + GST. To reserve your spot participants must complete the online registration form below.

Payment Options:

$1,000.00 non-refundable deposit is due upon registering.
First payment of $2,000.00 is due by April 15, 2013
Second payment of $2,000.00 by June 15, 2013
The remaining balance $2,784.70 is due by August 15, 2013
All participants must be at least 18-years-old.

Please enter your information in the online registration form and click the Payment button. Register before Feb 28th and receive a 10% discount.
You will also be required to fill out a Consent Form prior to participation.
Please fill out the consent form and fax it to us at: 403-699-2974.

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REGISTRATION FORM

Contact Information

Name: *


First	Last

Address: *

Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeCountry

Phone: *

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Area Code	Phone Number

Cell Phone:

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Area Code	Phone Number

E-mail: *

E-mail Verification: *

Date of Birth
Day: *

Month: *
Year: *

Clothing Information
Shirt Size: *
Hockey Sweater Size: *
Hockey Pants Size: *
Waist Size:
Shoe Size:
Height in Feet and Inches (ex. 5'6"):
Weight (lbs):
Sweater Number:

Player Information
Position:
Shoots:

Goalie Mitt (If you are a Goalie):

Additional Comments

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