Lovell's Hockey School
Registration Form
On-Ice Programs - Summer 2010

Name: _________________________________________________
Address: _________________________________________________
  _________________________________________________
City, State & Zip: _________________________________________________
Age/Date of Birth: ________________________
Height/Weight: ________________________
Phone: ________________________
Email Address: ________________________
Emergency Contact & Phone: _________________________________________________
Current Team: _________________________________________________
Current Coach: _________________________________________________
Position: _________________________________________________



CHECK ONE OR MORE OF THE SESSIONS BELOW.

8 Week Development Camp - On-Ice & Off-Ice
Location:   Boch Ice Center, Dedham Mass.
Dates: June 28th - September 2nd
Rest Weeks: August 9-13 & August 16-20
Cost: $1895

Check Days Eligibility Times
  Mondays, Wednesdays, Thursdays U18 Men 8:00am - 11:30am
  Mondays, Wednesdays, Thursdays U16 Men 10:00am - 1:30pm
  Mondays, Wednesdays, Thursdays U14 Men 12:00pm - 3:30pm
  Mondays, Wednesdays, Thursdays U19 & U16 Women 2:00pm - 5:30pm
  Mondays, Wednesdays, Thursdays U12 Men 4:00pm - 7:00pm
  Mondays, Wednesdays, Thursdays College/Juniors 6:00pm - 9:30pm


8 Week Development Camp - On-Ice
Location:  Pilgrim Skating Arena
Dates: June 28th - September 2nd
Rest Weeks: July 12 - 16, and August 2 - 6
Cost: $1295

Check Days Eligibility Times
  Mondays, Tuesdays, Thursdays 1992 - 1995 8:00am - 10:00am


"20's" Program
Location: Boch Ice Center, Dedham Mass.
Dates: August 9th - August 20th
Cost: $650/two weeks of training

Check Days Eligibility Times
  Monday - Thursday Squirts 9:00am - 11:00am
Sold Out
  Monday - Thursday Mites 11:00am - 1:00pm
  Monday - Thursday PeeWees 1:00pm - 3:00pm
  Monday - Thursday Bantams 3:00pm - 5:00pm


"20's" Program
Location:  Pilgrim Skating Arena, Hingham Mass
Dates: June 28th - July 9th
Cost: $650/two weeks of training

Check Days Eligibility Times
  Monday - Thursday Mites 10:00am - 12:00pm
  Monday - Thursday Squirts 12:00pm - 2:00pm
  Monday - Thursday PeeWees 2:00pm - 4:00pm
  Monday - Thursday Bantams 4:00pm - 6:00pm


"20's" Program
Location:  Pilgrim Skating Arena, Hingham Mass.
Dates: July 19th - July 30th
Cost: $650/two weeks of training

Check Days Eligibility Times
  Monday - Thursday Bantams 10:00am - 12:00pm
  Monday - Thursday Mites 12:00pm - 2:00pm
  Monday - Thursday Squirts 2:00pm - 4:00pm
  Monday - Thursday PeeWees 4:00pm - 6:00pm


"20's" Program
Location:  Pilgrim Skating Arena, Hingham Mass.
Dates: August 9th - August 20th
Cost: $650/two weeks of training

Check Days Eligibility Times
  Monday - Thursday PeeWees 10:00am - 12:00pm
  Monday - Thursday Bantams 12:00pm - 2:00pm
  Monday - Thursday Mites 2:00pm - 4:00pm
  Monday - Thursday Squirts 4:00pm - 6:00pm


"20's" Program
Location:  Pilgrim Skating Arena, Hingham Mass.
Dates: August 23rd - September 3rd
Cost: $650/two weeks of training

Check Days Eligibility Times
  Monday - Thursday Squirts 10:00am - 12:00pm
  Monday - Thursday PeeWees 12:00pm - 2:00pm
  Monday - Thursday Bantams 2:00pm - 4:00pm
  Monday - Thursday Mites 4:00pm - 6:00pm


Waiver: I certify that the above named applicant is fully covered by a certified health insurance plan and the Lovell's Hockey Schools, Inc. and its Staff are not responsible or liable for any injury suffered by the applicant during participation at the camp. I also state that the applicant is in excellent health and is able to participate in the physical activity of a vigorous program. Lovell's Hockey Schools, Inc. reserves the right to accept only the players they conclude meet the standards established by the coaching personnel.

Parent/Guardian Signature __________________________________________________ Date _________________

Deposit:
We require a 50% non-refundable deposit with the registration form. The balance is due at the first session. . A limited number of players are on the ice so sign up quickly to secure your spot. Applications are taken on a first come, first serve basis. There will not be a refund to the player if he/she leaves a session on their own, misses a session, or is expelled from a session.

Make Checks Payable to:  Lovell's Hockey Schools, Inc.

Mail check and registration form to:
    Lovell's Hockey Schools, Inc.
    305 Prospect Street
    Norwood, MA 02062