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Larry Barabonoff, 24 Barner Avenue, Red Deer, AB T4R 1K3

Click here to download application form to print out and mail or fax it to us!
  • Registration Fee: $99.00 before Jan.31/12, $125.00 after Jan.31/12
  • Cancellation Fee: $25.00
Date:
Student's Name:
Parent's / Guardian's Names:
Age:
Phone Number(s):
Email Address:
Address:
Postal Code:
Student's Date of Birth:
Area of concern:
Last Year's Team:
Position

The above named boy/girl has my full permission to participate in the Larry Barabonoff Hockey School. I/we do hereby release, absolve, indemnify and save harmless Larry Barabonoff, The City of Red Deer, the Recreation Board, the Recreation Staff, the hockey school supervisors and instructors, and any and all of them from any claim which I/we do assume all risks and hazards incidental to this activity and hereby waive all claims which I/we or the said child may have against the above mentioned organizations or individuals.
Yes, I agree to the above. No, I do not agree to the above.

Comments or Additional Information:

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