Please complete the following form and press the "Proceed to Payment Options"
button at the bottom of this page. Once this form has been successfully
completed you will be taken to a screen outlining our payment options.

* Indicates a required field.

Athlete Information
*First Name   *Last Name
*Date of Birth
Last Team   *Position
*T-shirt Size    

*Athlete Phone   *Athlete Email
*City/Town   *Province   *Postal Code

Medical Information
*Provincial Health Care #
*Emergency Contact   *Emergency Contact Number
Family Doctor
Medical History

Guardian Information
If the athlete is under 18 years of age all Guardian Information
must be completely filled out.
*First Name   *Last Name
*Guardian Phone   *Guardian Email

Camp Information
*Camp Code --- Camp Dates --- Camp Times --- Camp Name -- BirthDates

Referral Information
*Where did you hear about the camp?

Please enter all special requests below.


Please carefully read and digitally sign the following disclaimer by entering
the required information in the fields provided.

In consideration of HighTempo Hockey Camps Inc. accepting (Athlete Name)
as a participant in their hockey and conditioning camps, I (Guardian Name)
hereby for myself, my heirs, executors, administrators and assigns, forever release
and discharge High Tempo Hockey Camps Inc. their instructors, administrators, servants,
agents, sponsors, employees or volunteers from any claims, demands, costs (including
solicitor and client costs on a full indemnity basis) actions, causes, of action, proceedings
arising out of or as a consequence of any loss, injury or damage however caused while
attending and participating in High Tempo Hockey Camps Inc. I also hereby release any photos
taken to be used as promotional images for High Tempo Hockey Camps Inc. in the future.

Cancellation Policy
No refunds two weeks prior to camp start date. Cancellations prior to this date will incur a
$50 administration fee.