Back to
THE PROGRAM Home PagePlease fill out both Registration Form &
Waiver Form.
(click here)
Registration Form (2 pages)
PLAYER'S NAME:
ADDRESS:
CITY: STATE: ZIP:
PHONE: ()
-
GRADE:
SHOT (R or L):
R
or L
(as
of Sept., 2003)
SCHOOL:
(as
of Sept., 2003)
POSITION: Forward
Defense
Goalie
(Center, Left Wing, Right Wing)
LEVEL PLAYED LAST YEAR:
(Jr. High, Freshmen, JV, Varsity)
HEIGHT: ' " WEIGHT: lbs.
BIRTH DATE: Month Day Year
COACH'S NAME:
PARENT'S NAME(S):
E-MAIL ADDRESS:
Session 1
Session 2
Visa / MasterCard Accepted
Card Number:
Expiration Date.............Month: Year:
Signature:
Make checks payable to "The Program" and
mail to: The Program
C/O Bob Walsh
153 Forest Trail
Hanson, MA 02341
Session 1 of "THE PROGRAM" for freshmen/junior varsity players, starts Thursday, June 19, 2003 with registration at 5PM at the Bridgewater Ice Arena. All following weeks begin at 6PM “On Ice” and end at 7:30PM.
Session 2
of “THE PROGRAM” for varsity contenders and varsity players, starts Thursday, June 19, 2002 with registration at 6:30PM at the Bridgewater Ice Arena. All following weeks begin at 7:30PM “On Ice” and end at 9PM.Program Cost: The cost of
"THE PROGRAM" is $380 for the entire 11 weeks of training and conditioning.
Group rates available. Please call for details.
Each session is limited in space to only
a certain number of players. Each year, THE PROGRAM
has sold out so early sign up is recommended to guarantee your spot.
Space is limited however so sign up now!