Advanced Hockey Development

Advanced Hockey Development Online Registration Form

Please complete this form and either submit electronically or print it out and mail to: AHD, P.O. Box 222, Wallingford, CT 06492 Your payment secures your spot in the camp and we can not provide any refunds.

Select Camp

First Name		Last Name
Address 1		Address 2
City, State		Zip Code
Email		Home Phone
D.O.B.		Age At Camp
Father's Name		Work Phone
Mother's Name		Work Phone
Current School		Current Team
Last Years Team
Coach's Name		Phone or Email
Years Experience		Ability Level
Position


Payment Info

Payment Options
Name On Card
Account Number		Expiration Date

If paying by check - Make checks payable to: AHD, LLC Mail to: P.O. Box 222, Wallingford, CT 06492



Terms
	I/We understand and appreciate that participation or observation of the sport constitutes a risk to me/us of serious injury, including permanent paralysis or death. I/We voluntarily recognize, accept, and assume this risk and release Advanced Hockey Development (AHD) and its affiliates, sponsors, event organizers, and officials from any liability thereof. Terms must be agreed to and box checked indicating you agree to the terms in order for registration to be processed.

	Submit Registration

2008 AHD Camps

P.O. Box 222 | Wallingford, CT 06492 | 203-484-4054

Advanced Hockey Development Online Registration Form