Summer Camp Registration

Select Camp*
Player Information
Player Name*
FirstLast
Player Birth Date*
Parent / Guardian Name*
FirstLast
Email*
Emergency Contact Phone*
Additional Information
Payment & Waiver
Click here to read waiver (opens in a new window, make sure popup blockers are disabled)
Accept Waiver*
- I have fully read and fully understood the Halton Roller Hockey waiver form
Signature*

By writing my name into the signature box, I understand that my child will be participating in roller hockey at Halton Roller Hockey, I understand all the risks attached to the sport in which my child will participate.
Summer Camp Registration
Price: $ 379.00 CAD
HST
Price: $ 0.00 CAD
Total Including HST
$ 0.00 CAD

Player Information