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STUDENT INFORMATION
Student First Name
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Student Last Name
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Contact Email 1
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Contact Email 2
Student Birth Date
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+
Gender
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Male
Female
Summer Camp Year
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2021
2022
2023
2024
2025
Medical Coverage Number
Parent/Guardian Name
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Medical Conditions/Medications/Allergies
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How did you hear about us?
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ADDRESS INFORMATION
Street Address
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City
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State/Province/Region
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Zip/Postal Code
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Phone Number
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Country
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ALBERTA SUMMER CAMP CONFIRMATION
EDMONTON; AUGUST 7-11, 2023 LOCATION: CLAREVIEW ARENA
Youth Development Level 1 (U9) Beginner - $600 +GST
Youth Development Level 2 (U11) Intermediate - $675 +GST
Advanced (U11, U13, U15) Competitive - $775 +GST
Elite (U11, U13, U15, U17) Highly Competitive - $1175 + GST
Pro Development (U13, U15, Jr.) Extreme Competitive -$1650 + GST
Intensive Pro Development (U13, U15, Jr., College, Pro) Ultra Intensity - $1850 +GST
ST. ALBERT; AUGUST 14-18, 2023 LOCATION: JAROME IGINLA/KINEX ARENA
Youth Development Level 1 (U9) Beginner - $600 +GST
Youth Development Level 2 (U11) Intermediate - $675 +GST
Advanced (U11, U13, U15) Competitive - $775 +GST
Elite (U11, U13, U15, U17) Highly Competitive - $1175 + GST
Pro Development (U13, U15, Jr.) Extreme Competitive -$1650 + GST
Intensive Pro Development (U13, U15, Jr., College, Pro) Ultra Intensity - $1850 +GST
EDMONTON; AUGUST 21-25, 2023 LOCATION: TERWILLEGAR ARENA
Youth Development Level 1 (U9) Beginner - $600 +GST
Youth Development Level 2 (U11) Intermediate - $675 +GST
Advanced (U11, U13, U15) Competitive - Sold Out
Elite (U11, U13, U15, U17) Highly Competitive - $1175 + GST
Pro Development (U13, U15, Jr.) Extreme Competitive -$1650 + GST
Intensive Pro Development (U13, U15, Jr., College, Pro) Ultra Intensity - $1850 +GST
PLAYER INFORMATION
Goalie Jersey Size
Small (U9)
Medium (U11)
Large (U13, U15)
XL (U15, U17, Jr., College)
League Level of Play
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Competitive
Recreational
Current Level of Play
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U9
U11
U13
U15
U17
Junior
College
Pro
Adult
GITN Camps (Years)
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1st Year
2 Years
3 Years
4 Years
5 Years
6 Years
7 Years
8 Years
9 Years
10 Years
Returning Student
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Yes
No
PAYMENT INFORMATION
Payment Options
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Full Payment
50/50 Payment (Balance Due June 1)
Monthly Auto Payments (Deposit upon registration, pymts 1st of the month, final pymt June 1)
Camp Refund Option(5% of camp fees)
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Yes
No
What's this?
Payment Method
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Visa
Master Card
American Express
Visa Debit Card
Name on Card
Credit Card Number
Expiration Date (mm/yy)
CVV#
Billing Zip/Postal Code
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I/we acknowledge that I/we have read the GITN-AB Waiver, Terms & Conditions link below.
GITN-Alberta Waiver, Terms & Conditions