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Hockeywise School Holiday Camp 15th-17th July 2026 – $149.00

Parent/Guardian Name: *

Parent/Guardian Email: *

Parent/Guardian Phone: *We will use this number to contact you during the camp if required.

Name (of person attending the camp): *

Age (of person attending the camp): *

Date of Birth (of person attending the camp): *

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YearSelect Year202220212020201920182017201620152014201320122011201020092008200720062005

Current Club (for upcoming season): *Select hereNot registeredHamilton DevilsMt Wellington PanthersNew Plymouth RavensLevin ThunderVipers Inline HockeyNorthland StingraysWaihi MinersRimutaka RenegadesCapital PenguinsMorrinsville Piako PiratesMt MustangsAuckland OrcasChristchurch LionsChristchurch SnipersGlenfield BlackhawksHutt City HawksNapier SharksNelson WhalersSabresTawa TyphoonsWanganui LightningIf you are not registered to a club yet (i.e. school league only), please select “Not registered”.

Grade(s) for current season: *10U12U14UJW / IW16U18USWNot applicableKIHL league only (please note which team and division in the experience section)Please choose the applicable grade for this current running season.

Position: *SkaterGoalie (must have own equipment)Part time skater, part time goalie (wanting to switch during the camp – must have own equipment)If you require goalie equipment, please note this in the “Anything else” section. Please note that it is not guaranteed that the appropriate sized equipment will be available.

Experience and time playing: *Brief description of time playing and level achieved (i.e. School League, Club, KIHL, Inter-Regional, National).

Any special requirements we should know of?Injuries, allergies, medication, learning difficulties, disabilities or anything that may help us give your child the best support over the camp.

Will your child be left unattended for the day/s? *Yes (please note in the “anything else” section if they will need help with anything specific during the day, i.e. putting on equipment)No, I (or a guardian) will be there for the day.Some of the dayNot applicablePlease note: Hockeywise is not a registered child care service. We take precautions to ensure the safety of your child however the responsibility is ultimately your own.

How many people are you signing up? Discounts only apply to people from the same family. *1 person $1492 people (10% discount off second person) $283.10 (total)3 people (20% discount off third person) $402.30 (total)4 people (50% off fourth person) $476.80 (total)Please fill in one form per player.

Are you happy for yourself/your child/ren to be on Hockeywise social media? *YesNo (that’s not a problem, please remind (or help) your child stay out of the group photos and ask them to not engage with the camera where possible).I need more clarification on this (someone will be in contact).This includes but not limited to Facebook and Instagram story and feed posts (follow us to keep updated throughout the weekend).

I understand that a packed lunch and water bottle are required for full day camps: *I understand

Would you like to add a Hockeywise Drink Bottle for only $9.99? *YesNo(Regular price: $13.99) One bottle per registration at $9.99. Please remember to add this to your payment.

Anything else?

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