Briercrest Sports Camps Online Registration

First Name:
Last Name
P.O. Box/Street
City:
Prov/State:
Postal/Zip Code:
Telephone:
Email:
Grade completed as of June 2015:
Years played:
Last team played for:
Position played:
Date of Birth:
Sex:Male Female
 

I am planning to attend:

Overnight Camps: Boys Basketball, $445.00 until June 30 ($485.00 after June 30)
Overnight Camps: Girls Basketball, $445.00 until June 30 ($485.00 after June 30)
Overnight Camps: Co-ed Volleyball, $445.00 until June 30 ($485.00 after June 30)
Discounts for overnight camps only - select all those that apply:
CHS Student Athletes - $50
Staying at Home - $25
Not eating in the Caf - $100

Adult Spring Hockey, $180.00
Day Camps: Basketball, $50.00 until June 30 ($65.00 after June 30)
Day Camps:Volleyball, $50.00 until June 30 ($65.00 after June 30)


Hockey Camps: Jersey Size (youth sizes):
Small Medium Large X-Large
 
Gym Camps: T-Shirt/Reversible Size (adult sizes):
Small Medium Large X-Large
 
Parental Consent Form
I hereby authorize the staff of Briercrest College and Seminary to act for me according to their best judgement in any emergency requiring medical attention, and I hereby waive and release Briercrest Family of Schools of any and all liability for any injuries or illnesses incurred while at camp. I have no knowledge of any physical impairment that would be affected by the camper's participation in the camp program.


Camp Waiver
I agree to allow Briercrest College and Seminary to take pictures of my child while they are attending Sports camp. I understand that the pictures will be used for future brochures and print and web-related publicity for the school.

No, I do not agree to allow Briercrest College and Seminary to take pictures of my child while they are attending this sports camp.
 
Name of Parent/Guardian:
Contact Phone #:
Participant's Provincial Health Card (name on card):
Participant's Provincial Health Card #:
Additional Medical Insurance #:
Type of Medical Insurance:
What medical conditions should we be aware of:
Roommate Request (2 beds per room):
Please note: We will do our best to accommodate roommate requests.

This is my first time at Briercrest Sports Camp and I was invited by:
 
Payment Method: Credit Card Cheque
 
If you wish to pay by credit card please fill out the following information:
Name as on Card:
Card Type: Visa Mastercard
Card Number:
Expiry Date:

Your registration will NOT be final until payment is received and confirmed.
You will receive a confirmation letter within two weeks.

If paying by cheque, please make cheques payable to:

Briercrest College and Seminary

Mail to:
Briercrest College and Seminary

attn: Accounting Department
510 College Drive,
Caronport, SK S0H 0S0

 
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