N.B.- P.E.I. “AAA” HOCKEY SERIES
The basic objective of the Elite Hockey Program is to provide the opportunity for advanced players to progress to the next level of play. This is accomplished by bringing together a group of advanced players under the direction of highly qualified coaches.
Please complete and forward Application Form to:
ATLANTIC HOCKEY GROUP
P.O. Box 1481, Moncton, N.B., EIC 8T6
1 (888) 421-0000 Fax: (506) 854-8200
REGISTRATION FEE:
$ 599.00 (includes HST)
METHOD OF PAYMENT
1. [ ] VISA [ ] Mastercard [ ] American Express
Credit card #: ______
Expiry date: ____ / ____ Card Holders Name ______
Signature: ______
2. Cheques: Either one cheque for the full amount of the registration, or a deposit of $200.00 plus a second cheque post dated March 1, 2018 for the balance.
Cheques are payable to: Atlantic Hockey Group
3. Register on-line at atlantichockeygroup.com
N.B.-P.E.I. “AAA” HOCKEY SERIES
@ 4 exhibition games
@ Atlantic Cup Jamboree
@ 12 hours of high level on-ice training
@ High level clinics for goaltenders
@ Game jersey & socks
@ Membership to exclusive website
@ Medals for all teams
Cancellations and Refunds Policy
Fees are based on a limited team roster. Consequently, as in all minor hockey associations, an open refund policy is not possible.
Registration Insurance
Understanding that injuries will occur the AHG is providing our members with the opportunity to purchase insurance which will refund registration fee on a pro-rated basis for any player who is removed from the roster for the duration of the season due to injury.
(to confirm please check box on application form)
NOTE: This is NOT player insurance as all of our players are covered while participating in our program.
APPLICATION
Name:______
(Please Print)
Mailing Address: ______
City: ______
Province: ______Postal Code: ______
Home phone: ______
Work: ______[ ] father [ ] mother
Email: ______
Age: ______Date of Birth: ______
(Day / Month / Year)
Position: [ ] forward [ ] defense [ ] goalie
Medicare number:______
Father’s name: ______Mother: ______
q Registration Insurance ($20.00)
I / we hereby release Charlie Bourgeois Hockey School Inc., its officers, employees and agents from all liability, claims, causes of actions 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 damage or loss while participating in programs and activities of the Charlie Bourgeois Hockey School Inc.
And I / we do hereby agree to indemnify and hold harmless Charlie Bourgeois hockey School Inc., its officers, employees, or agents from any and all claims, demands, causes of actions of any kind whatsoever, including those involving negligence on the part of Charlie Bourgeois Hockey school Inc. or any of its officers, employees or agents that may be made or initiated by, or on behalf of my child, arising out of or connected with my said child’s preparation for or participation in any of the Charlie Bourgeois Hockey school Inc. programs of activities.
______