Junior and U 15 March Break Camp 2021March Break Junior & U15 1 Step 12 Step 2March Break Junior and U 15 Camp     Date: Mar 22 to 25     U15 Time: 9:30-10:30 & 11:00-12:00     Junior Time: 9:45-10:45 & 10:45-11:45     Fees: $400 plus taxes     Location: Planet Ice CoquitlamMarch Break CampU 15 CampJunior Camo 5% GST plus CC Fee RegistrationPlayer InformationName* First Last Birthdate* DD MM YYYYPlease enter players birthdate in the format dd/mm/yyyyHistory of IllnessPlease enter a detailed account of any injuries / allergies or any other medical condition that coaches and staff should be aware of.Player Contact InformationAddress Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country PhoneParent / Guardian InformationName* First Last Email* Telephone*Please enter your home phoneMobile PhoneWaiver and Return and Delivery PolicyYou must agree to the waiver and Return and Delivery Policy below in order to register and for this player to attend the hockey session.Liability WaiverBy selecting the 'I agree to the Liability Waiver' checkbox below and clicking the submit button, I agree and understand that I/My child/My ward agree that Elite Level Development, its instructors, the Ice Hockey Arena and its employees will not be liable or held responsible for any accident or loss however caused and agree to release all mentioned parties from all claims and damages. I further verify that I/My child/My ward have no medical problems and am/is in good physical health and that the above mentioned parties will not be held responsible for any medical, dental, or insurance claims resulting from injury.I hereby grant Elite Level Development permission to use My/My child's/My ward's photo and/or name for promotional purposes.Return and Delivery PoliciesAll sales made through Elite Level Development Online Registration are subject to an administration fee for withdrawal from the program. After completing online payment, you are brought immediately to a receipt and confirmation page. This page acknowledges that you have completed the process and that your payment has been processed. You are instructed to print that page for your records. This page is your receipt and your product. This receipt should be kept as a record of your successful payment completion. This receipt is a record of your order is also kept on the Elite Level Development. There are no refunds 3 weeks prior to program starting through Elite Level Development. If you decide not to utilize the services for which you paid, you have the right to refrain from participating, however, no refunds are available. All sales through the Elite Level Development are subject to administration fee (third party payment fee is a final sale 25% of program cost). If you have questions about this return policy or need assistance contacting email@example.com If program cancelled due to Covid, players will be refunded minus processing fee or credited entire amount to a future programAgreement* I agree to the Waiver and Return and Delivery PoliciesCancellation Insurance*I want Cancellation InsuranceI don't want Cancellation InsuranceTotal $ 0.00 CAD NameThis field is for validation purposes and should be left unchanged.