Body Contact Clinic 04/02/2023 - 3:45 pm - 5:15 pm Location: Freeport Recreation Center 130 E. Merrick Road Freeport, NY 11520 Register Online PlayerName* First Last Date of Birth* MM slash DD slash YYYY Position* Current Team* Parent/GuardianName* First Last Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Will the Emergency Contact be different than the Parent/Guardian?* Yes No Emergency ContactName* First Last Phone*How would you like to pay?*Select OnePay NowPay at the DoorPay via VenmoClinic Fee* Price: Credit Card Fee Price: Agreement I agree to the waiver.I agree and shall provide health insurance to cover personal injury and property damage sustained while participating in Skate 2 Score activities or while on premise of the camp or clinic. In addition, by signing below enrollment agreement and waiver it is understood that ICE HOCKEY IS A HIGH RISK ACTIVITY and give permission for above applicant to be involved in and will assume all risks involved in any incident were to happen during the course of the camp. By agreeing to this form, I have agreed to above set terms and assume all risks and absolve Will Bodine and John Cacciatore. Due to demand and limited spots in each camp please make sure you are available to attend as we will not be able to issue refunds.Total $0.00 Total $0.00 Please bring this amount to pay at the door, or if using Venmo, send this amount according to the instructions on the next screen, or in the email you will receive.Credit Card*Card Details Cardholder Name NameThis field is for validation purposes and should be left unchanged. + Add to Google Calendar+ Add to iCalendar+ Export .ics file Details Date: April 2 Time: 3:45 pm - 5:15 pm Event Category: Clinics Venue Freeport Recreation Center Ice Rink 130 E Merrick Road Freeport, NY 11520 United States + Google Map INSIDE S2S ALL ABOUT SKATE 2 SCORE About UsOur Team CLINICSCAMPSUPCOMING EVENTS 09/23/2022 - 03/31/2023 Friday Power Hour Clinic + Add to Google Calendar + Add to iCalendar 03/09/2023 - 04/18/2023 Enforcers Tryouts + Add to Google Calendar + Add to iCalendar 04/01/2023 - 06/24/2023 Saturday Morning Power Hour + Add to Google Calendar + Add to iCalendar 04/02/2023 - Body Contact Clinic + Add to Google Calendar + Add to iCalendar
Body Contact Clinic 04/02/2023 - 3:45 pm - 5:15 pm Location: Freeport Recreation Center 130 E. Merrick Road Freeport, NY 11520 Register Online PlayerName* First Last Date of Birth* MM slash DD slash YYYY Position* Current Team* Parent/GuardianName* First Last Email* Phone*Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Will the Emergency Contact be different than the Parent/Guardian?* Yes No Emergency ContactName* First Last Phone*How would you like to pay?*Select OnePay NowPay at the DoorPay via VenmoClinic Fee* Price: Credit Card Fee Price: Agreement I agree to the waiver.I agree and shall provide health insurance to cover personal injury and property damage sustained while participating in Skate 2 Score activities or while on premise of the camp or clinic. In addition, by signing below enrollment agreement and waiver it is understood that ICE HOCKEY IS A HIGH RISK ACTIVITY and give permission for above applicant to be involved in and will assume all risks involved in any incident were to happen during the course of the camp. By agreeing to this form, I have agreed to above set terms and assume all risks and absolve Will Bodine and John Cacciatore. Due to demand and limited spots in each camp please make sure you are available to attend as we will not be able to issue refunds.Total $0.00 Total $0.00 Please bring this amount to pay at the door, or if using Venmo, send this amount according to the instructions on the next screen, or in the email you will receive.Credit Card*Card Details Cardholder Name NameThis field is for validation purposes and should be left unchanged. + Add to Google Calendar+ Add to iCalendar+ Export .ics file Details Date: April 2 Time: 3:45 pm - 5:15 pm Event Category: Clinics Venue Freeport Recreation Center Ice Rink 130 E Merrick Road Freeport, NY 11520 United States + Google Map
