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Registration Form

New Account Information Already a Member? Login here
Email Address *
Password * (at least 6 characters)
Contact Information
Name *	First Last
Alternate Email Address(es) (separate multiple by commas or semi-colons)
Phone Number
Address
City
State/Zip Code	State Zip Code
Member Information
Spouse/Partner's Name
Camp
Camp *	No Camps currently available for registration
Details
Location
Preferred First Training Session (you will be contacted to confirm)
Player
Player's Name *	First Last
DOB *
Primary Position
Current Team
Payment
Amount	$
Promo Code
Payment Method	Check
Directions	Your payment will complete your registration. Please pay by cash, check, or Venmo. Checks can be made out to "Shoot to Score" and mailed to 1105 East Street, Dedham, MA 02026. Please include your child's name and the camp code/name (eg. 1A or 3B) in the check memo. You can also Venmo payment to @Glen-Tucker-3. In the "What's it for?" box, please include your child's name and the camp code/name (eg. 1A or 3B). Thank you!
Optional
Comments
Newsletter	Would you like to sign up for the Shoot to Score Newsletter?
Policies & Waivers
Cancellation Because we keep the number of kids on the ice so low, a cancellation really hurts us; therefore, we need to maintain a strict cancellation policy. If you cancel within 90 days of the camp start date, we will grant you a full refund, less a $250 surcharge. If you cancel within 60 days of the camp start date, we will refund 50% of your tuition. If you cancel between 30-60 days, we will return 25% of your tuition. And if you cancel with thirty days or less notice, there are no refunds. Thanks for your understanding. Digital Signature: