CURRENT SECTION 2014 PRE-REGISTRATION


Registration Form




Heartland Hockey Camp Application 2014

Step 1 Fill Out The Following Info.

Email:
Campers Name:
Address:
City:    State:    Zip:
Phone (Day)
Phone (Night)
Birthdate: Age:
Height: Weight:
Position: Jersey Size:
Roommate Requested
Medical Insurance Co.
Gender   
Medical Insurance No.
How Did You Hear About Heartland Hockey Camps?


Step 2 Please Check appropriate box below to select your camp.

 

(Mite age approx 5-8 years)

 
(Boarding Fee/Non-Boarding)

Mite Skills Camp June 15-21

 
$1275.00 / $995.00

Mite AAA Camp June 22 - June 28

 
Boarding $1375.00

Mite Skills Camp July 13-19

 
Boarding $1275.00

Mite Select Camp, July 27 - Aug. 2

 
Boarding $1325.00


 
(Squirt age approx 8-10 years)
 
(Boarding Fee/Non-Boarding)

Squirt Skills June 15-21

 
$1275.00 / $995.00

Squirt AAA Camp June 22-June 28

 
Boarding $1375.00

Squirt Skills Camp July 13 - July 19

 
Boarding $1275.00

Squirt Select Camp July 20-26

 
Boarding $1325.00

Squirt Select Camp July 27-August 2

 
Boarding $1325.00

Squirt Super Select Camp July 27, - Aug. 2

 
Boarding $1350.00


 
(PeeWee age approx 10-12 years)
 
(Boarding Fee/Non-Boarding)

PeeWee Skills Camp June 15-21

 
$1275.00 / $995.00

PeeWee Select Hockey Camp June 22 - June 28

 
$1325.00 / $995.00

PeeWee AAA Camp June 29 - July 5

 
Boarding $1375.00

PeeWee Skills Camp July 13 - July 19

 
Boarding $1275.00

PeeWee Select Camp July 20 - July 26

 
Boarding $1325.00

PeeWee Select Camp August 3 - August 9

 
Boarding $1325.00

PeeWee Super Select Camp August 3 - August 9

 
Boarding $1350.00


 
Bantam Hockey Camps
(approximate age 12-14) years)
 
(Boarding Fee/Non-Boarding)

Bantam AAA Camp June 29 - July 5

 
Boarding $1375.00

Bantam Select Camp July 6 - July 12

 
Boarding $1325.00

Bantam AAA Camp July 6 - July 12

 
Boarding $1375.00

Bantam Super Select Camp July 20 - July 26

 
Boarding $1350.00

Bantam Select Camp July 27 - Aug. 2

 
Boarding $1325.00

Bantam Select Camp August 3 - 9

 
Boarding $1325.00


 

High School Hockey Camps
Approximate age 15-18

 
(Boarding Fee)

High School Select Camp July 6 - 12

 
Boarding $1375.00

High School Super Select July 13 - July 19

 
Boarding $1400.00


 
Goalie Camp
 
(Boarding Fee/Non-Boarding)

Goalie Camp June 29 - July 5

 
Boarding $1275.00


 
Girls Hockey Camp
(No age restriction)
 
(Boarding Fee/Non-Boarding)

Girls Skills Camp June 15 - June 21

 
$1275.00 / $995.00

Girls Super Select Camp June 22 - June 28

 
$1350.00 / $995.00


Mom or Dad (Optional) Full Service Fee $995.00
Mom or Dad (Optional) Lodging, Meals & No Ice Fee $895.00
Mom or Dad (Optional) No Boarding, Ice & Meals Only Fee $795.00

Please note: All camps are available for mom or dad to attend, this is an optional feature,
it is not mandatory that mom or dad attend with their campers. FOR FURTHER INFORMATION ON THE CHILD / PARENT CAMP CLICK HERE



 

Adult Camp

 
(Boarding Fee/Non-Boarding)

Adult Camp August 10 - 16

 
Boarding $1,375.00


 

Step 3 Fill Out Parental Consent Form.

In consideration of the acceptance of (Campers Name) as a student in Heartland Hockey Camps, the applicant agrees that Heartland Hockey Camps and / or their staff, coaches or employees will not be held responsible for any accidents or loss of personal property, however caused, and agree to release the Camp from all claims or damages which may arise as a result of such accidents or loss. It is further agreed that all risks attendant to watching and / or participating in the Heartland Hockey Camps are assumed by the student and his / her parents and / or guardian and this assumption is acknowledged, approved by the signature hereto.

We have read the foregoing, and have explained its meaning to our son / daughter, and agree to the terms and conditions stated. We the parents of the above signed applicant, give our consent to his / her participation in Heartland Hockey Camps.

 

 

___________________________________________________________________
Signature of Parent                                                            Date

 

Step 4 Print this form, Sign the Parental Consent Portion

Mail this application and deposit to:
Heartland Hockey Camps
24921 Arena Dr.
Deerwood Minnesota 56444

Step 5 Press the Send to Heartland Button below, this will hold your reservation in the appropriate camp until your deposit arrives.

(If your deposit does not arrive within 10 days, we will assume you are no longer interested, and cancel your reservation!!)