2017 Girls Summer Hockey Camp Registration

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Payment Information

Payment *
If you wish to pay with a check, please mail to:
Shattuck-St. Mary's School
Attn: Girls Hockey Camps
P.O. Box 218
Faribault, MN 55021
Please charge the following to my card:
Signature (I authorize SSM to charge my credit card the following amount chosen)
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I, as a parent or guardian of the above mentioned child, authorize her to take part in the Shattuck-St. Mary's Girls Elite Hockey Camp. I also authorize any emergency examination, x-ray, medical or surgical treatment deemed necessary by a licensed physician or hospital in Minnesota. I will not hold Shattuck-St. Mary's school, its coaches or staff responsible for accidents or injury that may occur while participating in any on or off-campus activities during her stay.
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To register, complete this form with a non-refundable deposit of $300 per player. The balance is due on or before June 1, 2017.

For more information, contact:
Gordie Stafford, Director of Girls Summer Hockey
Phone: 1-507-333-1592
Email: gordon.stafford@s-sm.org
For registration assistance contact:
Mary Hart, Registration
Phone: 1-507-333-1693
Fax: 507-333-1680
Email: mary.hart@s-sm.org
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