SSAC Fall Camp 2019 Overflow

This form is only for either those that have not made payment yet or on the waiting list with notification of an available spot to make credit card payment. You have already completed long form previously registered for another session or now making payment by credit card. If not, proceed to registration form at SSAC Fall Camp for Bantam & Midget.

Player – First Name *

First Name - Title Case, e.g. Connor

Player – Last Name *

Last Name - Title Case, e.g. McDavid

Phone *

000-000-0000

EMail *

Contact Email Address

BANTAM
PROGRAMS

Please enrol me
for this session

Bantam Packages
Select Available
Checkbox

A) Bantam 1st Year - 2 Week Package @ $500 *** Early Bird $450 ***
Week 1 August 12-16 @ Confederation Arena 17:30 - 19:00
Week 2 August 19-23 @ Confederation Arena 17:30 - 19:00

A1) Bantam 1st Year - 1 Week @ $275
Week 1 August 12-16 @ Confederation Arena 17:30 - 19:00

A2) Bantam 1st Year - 1 Week @ $275
Week 2 August 19-23 @ Confederation Arena 17:30 - 19:00

B) Bantam 2nd Year - 2 Week Package @ $500 *** Early Bird $450 ***
Week 1 August 12-16 @ Confederation Arena 19:15 - 20:45
Week 2 August 19-23 @ Confederation Arena 19:15 - 20:45

B1) Bantam 2nd Year - 1 Week @ $275
Week 1 August 12-16 @ Confederation Arena 19:15 - 20:45

B2) Bantam 2nd Year - 1 Week @ $275
Week 2 August 19-23 @ Confederation Arena 19:15 - 20:45

MIDGET
PROGRAMS

Please enrol me
for this session

Midget Packages
Select Available
1 Week Checkbox
*

C) Midget - 3 Week Package @ $650 *** Early Bird $600 ***
Week 1 August 12-16 @ Confederation Arena 21:00 - 22:30
Week 2 August 19-23 @ Confederation Arena 21:00 - 22:30
Week 3 August 26-30 @ Confederation Arena 19:30 - 21:00 / 21:15 - 22:45

D) Midget - 2 Week Package @ $500 *** Early Bird $450 ***
Select 2 week preference combination from Week 1, 2, 3 options below

E) Midget - 1 Week Package @ $275
Select 1 week preference from Week 1, 2, 3 options below

1 Week Package

Select 1 Box:
Week 1, 2 or 3
Select Available
Checkbox

E1) Week 1 August 12-16 @ Confederation Arena 21:00 - 22:30

E2) Week 2 August 19-23 @ Confederation Arena 21:00 - 22:30

E3.1) Week 3 August 26-30 @ Confederation Arena *** 19:30 - 21:00 *** 1st Session

E3.2) Week 3 August 26-30 @ Confederation Arena *** 21:15 - 22:45 *** 2nd Session

2 Week Package

Select 1 Box:
SOLD OUT

D1) Week 1 & 2 Package D1
Week 1 August 12-16 @ Confederation Arena 21:00 - 22:30
Week 2 August 19-23 @ Confederation Arena 21:00 - 22:30

D2.1) Week 1 & 3 Package D2.1
Week 1 August 12-16 @ Confederation Arena 21:00 - 22:30
Week 3 August 26-30 @ Confederation Arena *** 19:30 - 21:00 ***
1st Session

D2.2) Week 1 & 3 Package D2.2
Week 1 August 12-16 @ Confederation Arena 21:00 - 22:30
Week 3 August 26-30 @ Confederation Arena *** 21:15 - 22:45 ***
2nd Session

D3.1) Week 2 & 3 Package D3.1
Week 2 August 19-23 @ Confederation Arena 21:00 - 22:30
Week 3 August 26-30 @ Confederation Arena *** 19:30 - 21:00 ***
1st Session

D3.2) Week 2 & 3 Package D3.2
Week 2 August 19-23 @ Confederation Arena 21:00 - 22:30
Week 3 August 26-30 @ Confederation Arena *** 21:15 - 22:45 ***
2nd Session

3 Week Package

Select 1 Box:
SOLD OUT

C1) Week 1 August 12-16 @ Confederation Arena 21:00 - 22:30
Week 2 August 19-23 @ Confederation Arena 21:00 - 22:30
Week 3 August 26-30 @ Confederation Arena *** 19:30 - 21:00 ***
1st Session

C2) Week 1 August 12-16 @ Confederation Arena 21:00 - 22:30
Week 2 August 19-23 @ Confederation Arena 21:00 - 22:30
Week 3 August 26-30 @ Confederation Arena *** 21:15 - 22:45 ***
2nd Session

Total Payment $

Fee as per selected rate checkbox above

Select Payment Method *

Cheque payable to:
South Side Athletic Club
4250 – 91A Street NW, Edmonton, AB T6E 5V2
* Booking to be confirmed upon receipt of cheque within 7 days

Credit Card Online
Debit Card Online (MasterCard/Visa affiliation only)
* Select checkbox, then fill out credit/debit form below to submit payment

Credit Card - First Name *

First Name - Capital first letter Title Case, e.g. John

Credit Card - Last Name *

Last Name - Capital first letter Title Case, e.g. McDonald

Address *

e.g. 10 - 111 Street NW

City

Province

Postal Code

Complete Street Address, City, Province, Postal Code

Credit Card *

Credit Card Number - MasterCard / Visa / AMEX

Expiry Month

Expiry Year

CVC

Player / Parent Acknowledgement *

The player / parent / guardian acknowledges and agrees that the South Side Athletic Club Fall Camp, its members and administrators will not be held responsible for any accident or loss. And furthermore, agree to release the SSAC Fall Camp and its members from all claims or damages which may arise as a result of or by reason of such accidents or loss. The administration reserves the right to remove any participant who, in our opinion, is not acting in an acceptable manner.

Questions / Enquiries

For additional requests or questions. Or contact us before submitting form: info@ssac.hockey