U17 AAA United Bulldogs Development Camp May 2023

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SSAC U17 AAA Bulldogs May 2023

The May 23-26 SSAC U17 AAA United Cycle Bulldog Camp is invite only.
Any registrants that did not receive an invite will be refunded or placed on a waitlist.
Questions on the camp, please reach out to Head Coach Nick Letendre at nletendre91@gmail.com.
Questions on the registration process, please reach out to Registrar at registrar@ssac.hockey.

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

Birthdate *

mm/dd/yyyy
*** Select birth year then month-day ***

Height *

Weight *

Address *

Address

e.g. 11100 - 123 Street NW

Address

City

Province

Postal Code e.g. T6T 1E1

Complete Street Address, City, Province, Postal Code

Position *

Goalie

Defence

Forward

Shoots *

Left

Right

U17 AAA Bulldogs Development Sessions

U17 AAA United Bulldogs Development Camp - $100
May 16, 23-26, 2023 | Arena TBA

Final Payment $

Fee as per selected rate checkbox above

Select Payment Method *

E-Transfer within 24 hours of Registration - Please send E-transfer, using password U17MAY to: registrar@ssac.hockey

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

Credit Card *

Card Number | Expiry Date | CVC | MasterCard – Visa – AMEX

Parent / Guardian Name *

First Last

Emergency Phone Number *

000-000-0000

Player Health Care Number *

12345-6789

Medical Alert / Allergies

State any Medical Conditions

Player / Parent Acknowledgement *

The player / parent / guardian acknowledges and agrees that the South Side Athletic Club, its members and administrators will not be held responsible for any accident or loss. And furthermore, agree to release the SSAC 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.

Comments / Enquiries

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