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HMT SPORTS
... HELPING YOU ACHIEVE YOUR BEST!

REGISTRATION FORM:

To register, simply fill out the online registration form below, or:

· call us at 519-893-3312 and give us this information over phone (signed permission form must be brought to camp)

· fax it to us at 519-893-0963

· mail to : HMT Sports, 1016-D Wilson Ave. Kitchener, ON, N2C 1J2

Payment:
Monday Order or cheque payable to: HMT GROUP INC. Cash will be accepted at the Registration Desk, but you must be pre-registered.

· $99.00 + GST = $105.93

Name *
E-mail Address *
Name of Camp *
Date of Camp: *
Parent's Name
Parent's Email
Street Address, City, Prov., Postal Code: *
Player's Age: *
Date of Birth: *
Home Phone *
Work Phone
Cell Phone
Health Card No. (optional):
School: *
Grade:
Position:
	I AGREE: Release of Liability: In part consideration of permitting my child to participate in the specified March Break Madness Football, I agree to insure my child against any injury or loss resulting from these activities or from traveling to and from these activities. I agree to indemnify and save harmless University of Waterloo, All Pro Football and HMT Group Inc. and its employees, agents and volunteers from all losses, damages, claims and demands occasioned hereby.
	AUTHORIZATION: As the parent or legal guardian, I authorize University of Waterloo, All Pro Football and HMT Group Inc. and its employees, agents and volunteers to provide all medical care which they deem necessary for my child in the event of injury; and I agree to reimburse all expenses incurred thereby.

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HMT SPORTS . . . helping you achieve your best!