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Application Form |
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www.torontoprohockeyschool.com |
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e-mail:
torontoprofessional@rogers.com |
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1-877-944-7244 |
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Please check appropiate box / Please print clearly |
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Note: Check 2nd week only
if applying |
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Texas, Dallas
June 9 - 13) |
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Vaughan:
(1st week: June 30 -
July 4 |
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Whitby:
(August 11 - 15) |
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Final registration and payment deadline is June
3,2008 |
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(2nd week / Bonus week:
July 7 - 11) |
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Toronto: (1st week: Aug 4 - 8) |
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Price US$425.00 |
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(2nd week / Bonus week: Aug 11 - 15) |
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Scarborough: (1st week: July 21 - 25) |
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Mail your cheque or money
order to: |
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(2nd week / Bonus week:
July 28 - Aug 1) |
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Kitchener/Warterloo (July 14
- 18) |
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Toronto Professional Inc. |
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Mississauga: (1st week: Aug 18 - 22) |
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3340 Yonge Street,
Toronto Ontario Canada |
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(2nd week / Bonus week:
Aug 25 - Aug 29) |
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M4N 2M4 (2 post dated
checks May 15 & June 15 |
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* Final Registration and payment deadline is: July 10, 2008 |
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Price
1st week - $409.00CDN (GST Included) |
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Texas, Houston (June 16 - 20) |
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2nd week - $209.00
CDN (GST Included) |
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Final registration and
payment deadline is June 17,2007 |
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Price US$425.00 |
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Mail your cheque or money
order made payable to: Toronto Professional Inc. |
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Mail your cheque or money
order to: |
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3340 Yonge Street,
Toronto ON M4N 2M4 |
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Toronto Professional
Hockey School |
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3340 Yonge Street,
Toronto Ontario Canada |
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M4N 2M4 (2 post dated
checks May 15 & June 15 |
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* Application taken on a first-come, |
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Name:
______________________________________________________________ |
Age: (as of Sept 5,2008)
____________________ |
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first-served basis. |
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Address:
____________________________________________________________ |
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* 50% refund given on any |
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City: _________________________ |
Province/State
______________________ |
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Postal/Zip Code: ___________________ |
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cancellation. |
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Telephone:
_______________________________ |
Date of Birth:
_______________________________________________ |
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E-Mail:
___________________________________ |
Fax: ____________________ |
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Insurance Coverage Information: |
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Height: ___________ |
Weight: _____________ |
| Have you attended any of our camps before? YES NO |
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(Health Card Number) |
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If yes, which one ____________________________________________ |
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Position Played:
______________________________________________ |
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Last Level and Division Played:
__________________________________________ |
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The
applicant agrees that T.P. Hockey School and/or its proprietors will not be
responsible for any accident or loss, however caused and agrees to release |
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the
proprietors from all claims of damages which may arise as a result of or by
reason of such accident or loss. |
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| Credit Card Payment:
Mastercard American Express Visa |
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Signature of Parent / Guardian:
_____________________________________ |
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Card
Number:_________________________________________________________ |
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Date:
_____________________________________________________________ |
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Expiry Date: ______________________ |
Signature: ________________________________________ |
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FOR OFFICE
USE ONLY |
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A___________ |
B______________ |
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C___________ |
OUT____________ |
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