ELITE-2 Season Long Elite Academy – Varied Ages – 9:00am-10:30amSeptember 24, 2022CA-1 Ultimate Edge Super Skills – Varied AgesMay 17, 2024 Published by Garry Hebert on June 25, 2024 Categories ESP Tags When 06/25/2024 - 08/15/2024 9:00 am - 12:00 pm Add To Calendar Download ICS Google Calendar iCalendar Office 365 Outlook Live Bookings $0.00 Book Now Where Thayer Sports Center 1535 Washington Street, Braintree, MA, 02184 Event Type ESP Loading Map.... Thayer Sports Center1535 Washington Street - BraintreeEvents 42.1869934 -71.01070399999998 6+ Weeks Program 3 days a week June 25 to August 15 Combination on-ice/off-ice Call Garry at 781-771-1595 for Details or pricing questions. Each player must be registered individually. Bookings Tickets Spaces 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 Registration Information Today's Date * First Name * Last Name * Address * City/Town * State/County * Zip/Post Code * Father's Name * Mother's Name * Player's Phone * Home Phone Father's Cell * Mother's Cell * Emergency Phone Email Address * Date of Birth * Height Weight Gender * Select Gender... Male Female Present School Name Present School Grade * Select Grade... 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th Other Hockey Experience Select Experience Level... None Less than 1 year 1-3 years 3-5 years 5+ years Current Team(s), if any? Position Played, if any? Health Insurance Company * Have you skated with Garry before? Select ... Yes No If Yes, where did you last attend class (city and rink) If Yes, when did you last attend (month/year) How did you hear about us? Select... Brochure Friend Relative Coach Advertisement Facebook Youtube Surfing Online Other Medical Release: I acknowledge the applicant is in good health and is able to participate in the physical activity of a vigorous program. In the event my child is injured during absence of parent or legal guardian, I give my permission for the person in charge to seek medical attention. Release of Liability/Acknowledgment of Risk: Upon entering the Garry Hebert Hockey Event, I/We understand that participation in the sport of ice hockey, as well as in this event, constitutes a risk to me/us or serious injury, including the potential for permanent paralysis and death. While particular rules, equipment and personal discipline may reduce this risk; the risk of serious injury does exist, and, as a parent or for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, INDEMNIFY, AND HOLD HARMLESS Garry Hebert, Garry Hebert Enterprises, Inc., their officers, agents and/or employees, other participants, sponsoring agencies, sponsors, advertisers, event organizers, staff members, the skating facility and officials; from any claims arising out of my or my child's participation these activities. Checking the box below acts as your signature and your agreement with the terms and conditions of the medical release and release of liability/acknowledgment of risk as shown above. Medical & Liability Release * Download Concussion Information Sheet HereI/we acknowledge and understand the parent/athlete concussion information sheet. Concussion Form * Booking Summary 1 x ESP Session Pass $0.00 Total Price $0.00 Share0 Garry Hebert
