Send To:     Hockey Techniques    PO Box 401    Oxford, NJ 07863

or Fax to: (908) 453 - 2436

Registration Policies ALL Programs

1. See appropriate section below for payment schedule.
2. Make all checks payable to Hockey Techniques.    
3. Bounced Checks will have a $30 fee added to balance.
4. Confirmation will be sent through email if applicant gives email address. Otherwise by mail.
5. No students shall participate without balance paid in full as well as
   waiver and medical form filled out, signed and dated.
6. Full equipment is required (not supplied) including mouthpieces.

ALL summer camps except Vacation Camp

(Before March 1^st): A signed application and waiver, accompanied by a $50 non-refundable
deposit must be received in order to reserve a spot.
*(March 1^st):  50% of the total cost of the camp is due.
*(1 Month prior to date of camp): Final Payment is due
* Note: a late fee of 5% of total balance due and/or loss of spot will be assessed to any late payments

Vacation Camp

(Before April 1^st): One signed application and waiver for all family members,
accompanied by 1/3 of total family cost is due upon sign-up in order to reserve a spot.
*(April 1^st): 2^nd payment of 1/3 of the total cost is due
*(June 1^st): final payment of 1/3 of the total cost is due
* Note: a late fee of 5% of total balance due and/or loss of spot will be assessed to any late payment.

All Programs listed as Clinics (September - May)

Initial Deposit: 50% of cost of clinic if more than 1 month in advance.
Balance Due: 1 month prior to clinic

1. $50 fee for ALL cancellations except $15 for all programs listed as clinics.
2. All cancellations must be made in writing. Medical cancellations must be accompanied by a doctor’s note.
3. If applicable, all cancellations received after May 15th will have refund checks or
   credits issued at the conclusion of the summer (in September).
4. Refunds less the cancellation fee will be issued ONLY if cancellation is received
   more than 30 days before the registered program commences.
5. If cancellation is received less than 30 days before the registered program commences,
   then players/families enrolled in ALL programs including the Vacation Camp
   will forfeit 50% of their total camp cost with the other 50% being returned to the
   camper in the form of a credit good for the period of 1 year from date of issue.
6. Players canceling within 7 days of their registered program will not be entitled to a school credit or refund.
7. Players leaving of there own desire, expelled by management, or "No Shows" will not be given refunds or credits.
8. Late arrivals, early departures and missed sessions are not subject to discounts, refunds,
   credits or make-up days or sessions.

Personal

Camper's/Family Name: _______________________  B-Day(s): __________

City: __________________State: _______ Zip: __________

Day Tel. #: ________________ Night Tel. #: ________________

I will be coming with my friend(s): ______________________________________

Camp or Clinic Code(s)
(Codes can be found in the schedule chart.)

If Lake George, which week: June 29 - July 4  or July 13 - 18 

Special Offer - *$12 per video ($40/Set of 4)
or *$10/video with any summer camp sign-up
(*Does not include shipping/handling and if in NJ, Sales Tax)

Please send me

Check/Visa/MasterCard/Discover:    Camp Amount: $_____ Video(s) Amount: $_____

Signature: ___________________ Print Name:______________

Waiver

I/we agree with all registration/cancellation/refund policies. I/we also acknowledge that the activities
associated with and on the premises of the Todd Drevitch’s Hockey Techniques, inc. program constitutes
a risk of personal injury, which includes but is not limited to paralysis, permanent disabilities, and or death.
In consideration of this, I agree to provide health insurance and appropriate insurance to cover any personal
injury or property damage while on the premises of Todd Drevitch’s Hockey Techniques, inc. I/we will not
hold Todd Drevitch’s Hockey Techniques, inc. responsible for items lost, stolen or damaged in and around
the premises of the program. I/we hereby release and forever discharge Todd Drevitch’s Hockey Techniques,
Inc, its coaches, staff, and agents from all damages, causes of action, suits or liable for any accidents, personal
injury and or property damage which I/we as a student, or my child as a student, or myself may have as a
result of participating in said program. I/we also give Todd Drevitch’s Hockey Techniques, inc. permission
to use any pictures and videos taken during the program for research, instruction, and/or advertising purposes.

Signature: _________________________ Print Name: _______________Date: _________

(908) 453 - 2436    hocktech@hockey-techniques.com

Hockey Techniques    PO Box 401    Oxford, NJ 07863