* = Required Field
 
* Clinic, Camp, or Code #:
Group Name
(If Applicable):
 
Hockey Player's Info:
* First Name:
* Last Name:
* Birth Year:
* Gender:Male Female
Position:
Youth Level:
Adult Level:
 
Contact Info:
Guardian Name:
* Home #:
Cell #:
* Postal Code:
* Email Address for eLetter:
Your Hockey Interest: Youth Goalie Coach Men Women
 
Medical Concerns:
Details:
 
Waiver-Must Read:
In registering for this program(s), you acknowledge that certain RISKS OF INJURY are inherent to participation in on-ice and off-ice hockey activities. You warrant that the registered participant(s) is physically fit to participate and understand that the choice to participate brings with it the assumption of those risks and results which are part of these activities. I understand that photos and videos taken by Hockey Extreme may be used for promotional purposes. I agree that Hockey Extreme Incorporated shall not be liable for any injury to the registered player and/or loss or damage to his/her personal property arising from, or in any way resulting from, his/her participation in these activities, unless such injury, loss or damage is caused by the sole negligence of HOCKEY EXTREME or its employees or agents while acting within the scope of their duties.
* Choices:Accept Decline
 
Policies
Hockey Extreme reserves the right to decline the applicant enrollment in the school and terminate participation in the school, without refund for conduct by the participant detrimental to the best interest of the school and other students.

Cancellations and Refunds: NO REFUNDS or make-ups for sessions missed due to illness, holidays, competitions, injuries or management disputes. If you show up or not, your hours at the school are considered used. Hours are non-transferrable from one student to another.

NSF Cheque: An administration fee of $30 will apply.
 
Refer A Friend
Yes No
First Name:
Last Name:
Email:
 
Payment Options
* Payment Method:
 
Questions/
Special Request
 
If you would like to print out this form and mail it. Please send it to:

Hockey Extreme
3007 Kingston Road
Suite 311
Toronto, Ontario
M1M 1P1

Telephone: 416.410.8993
Fax: 416.410.8993

 

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Call the office of Hockey Extreme
416.410.8993

hockeyextreme@rogers.com






ARENA LOCATOR

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        # of      
Code School / Arena Age Dates Stdnts Instr. Times Price
               
      Adult Co-Ed Programs        
APS Co-Ed Adult Power Skating Plus Skill Level: 2-5 Saturday 20 1 PAYG 25.00
2012 Agincourt Arena   Feb.4,11,25     per player 177.00
  email for time   March 3,10,17,24     email for time + HST
               
      Extreme Hockey Skills - youth        
EHS McGregor Park Arena, rink C Youth 2012 Dates 20 2    
2011/12 5pm-6pm 97-02 Mon: Feb.6, 13, 27, Mar.5     Package of 5 skates: 110.62
    AA-A-sel Tue: Feb.7, 14, 21, 28, Mar.6       + HST
               
      Strictly Shooting        
ESS McGregor Park Arena, rink C Youth 2012 Dates 4 1 PAYG per date 40.00
2011/12 4pm-5pm 97-02 Mon: Feb.6, 13, 27, Mar.5     80% Sold out  
    AA-A-sel Tue: Feb.7, 14, 21, 28, Mar.6     Must pre-register your date!  
               
      Player March Break Camps        
MB-SP Semi-Private Lessons Youth March 12, 13, 14 3 player David 3pm-4pm - on ice  
  Victoria Village Arena Any Skill Level   per plus 3   225.00
        instructor   Register now! + HST
MB1 Extreme Hockey Skills 2004-1999 March 12, 13, 14 24 David 9am-11am - on ice  
  Victoria Village Arena BB-B-C-sel-HL     plus 5   150.00
            Register now! + HST
MB2 Extreme Skating-Shooting-Scoring 02-01-00 March 12, 13, 14 24 David 11am-1pm - on ice  
  Victoria Village Arena AA-A-sel     plus 5   175.00
            Register now! + HST
MB3 Extreme Skating-Shooting-Scoring 97-98-99 March 12, 13, 14 24 David 1pm-3pm - on ice  
  Victoria Village Arena AA-A-sel     plus 5   175.00
            Register now! + HST
MB4 Principles of Body Contact I & II 1997-2002 March 15 & 16 24 David 15th: 9am-12nn - on ice  
  Victoria Village Arena AA-A-sel     plus 5 16th: 9-10:30am - on ice 130.00
            Register now! + HST
MB5 Extreme Defense 1997-2002 March 15 & 16 24 David 15th: 12-3pm - on ice  
  Victoria Village Arena AA-A-sel     plus 5 16th: 10:30-12nn - on ice 130.00
            Register now! + HST
               
      Goalie Training        
GT Tuesday Youth Tuesday 2012 4 1    
2011/12 McGregor Park Arena, rink C 97-04 Jan.10, 17, 24, 31     Package of 5: 221.24
  5pm-6pm AA-A-sel Feb. 7, 14, 21, 28, Mar. 6       + HST
               
      Goalie Private Lessons        
GPL Tuesday Youth & Adult Tuesday 2012   1 Private 1on1 or  
2011/12 McGregor Park Arena, rink C Goalies Jan.10, 17, 24, 31     Build your own small group 159.30
  4pm-5pm   Feb. 7, 14, 21, 28, Mar. 6     Must book 1 week in advance + HST
               
      Goalies March Break Camp        
MBG1 Goalie Training by Moe Youth March 12, 13, 14 18 Moe 9am-12nn - on ice  
  McGregor Park Arena, rink B 97-04     plus 5   525.00
    AA-A-sel-HL       Register now! + HST
MBG2 Puck Stopper Plus 02-01-00 March 12, 13, 14 4 1 11am - power skating 30.00
  Victoria Village Arena AA-A-sel       12nn - puck stopping  
MBG3 Puck Stopper Plus 97-98-99 March 12, 13, 14 4 1 1pm - power skating 30.00
  Victoria Village Arena AA-A-sel       2pm - puck stopping  
Hockey Extreme Hockey School is the leading Hockey School in Toronto. Teachers at this Hockey School are experienced Professional, NCAA and CIS former Hockey Players. If your looking for a Hockey School then Hockey Extreme Hockey School is for you.