U18 ID CAMP REGISTRATION (FORWARDS) Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Athlete InformationName *FirstLastBirth Date *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Current Level & Team Playing For *Position *ForwardHeight *Weight (lbs) *Jersey Size *Alberta Healthcare # *Allergies or Medical Concerns/Notes or CommentsParent/Guardian InformationParent/Guardian Name *FirstLastEmail *Phone *Assumption of Risk WaiverAs parent/guardian of the athlete, I acknowledge that he/she will be participating in the Devon Xtreme ID Camp. I acknowledge that there are risks of injury while playing hockey. Checkboxes *I AgreeRelease WaiverI, for myself, my heirs, executors, personal representatives, administrators and assigns, hereby release Devon Xtreme, its board of directors, officers, employees, servants, agents, representatives and volunteers ("Devon Xtreme Releasees) from all claims, demands, damages, actions or causes of actions arising out of or in consequences of any loss, injury or damage to person or property incurred while attending and/or participating in the said Devon Xtreme ID Camp. Checkboxes *I AgreeMedical Waiver I understand that it is my responsibility to keep the team medical trainer advised of any changes to my medical information throughout the camp. In the event of a medical emergency and that my emergency contact cannot be contacted, the team medical trainer will arrange to take my child to the hospital or a physician if deemed necessary. I hereby authorize the physician and nursing staff to undertake examination, investigation and necessary treatment of my child. I also authorize the release of information to the appropriate coach and/or physician as deemed necessary. By signing this form you are granting the therapists and health professionals at Northern Alberta Xtreme to share information that may arise during the evaluation process. These may include personal physicians, sports medicine physicians, athletic therapists, physiotherapists and chiropractors. By signing this form, you are also granting consent for the medical staff at Devon Xtreme to give their professional advice and care for the athletes. *I AgreeRefund PolicyRefunds will only be issued due to a documented medical reason. For more information contact: camps@devonxtreme.com Checkboxes *I AgreeDate *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Signature * Clear Signature Cost *Player Registration - $315.00Total$0.00Stripe Credit Card *Submit
