Brick Development2018 Fall Brick Development Camp 1 Step 12 Step 2Brick Development Camp!#AREYOUBRICKREADY? Features     - 14 Saturdays starting Oct 13 (see below for dates)         - 2009s from 9:00am to 10:00am         - 2010/11 from 10:15am to 11:15am     - Professional Coaching     - Skating Skills     - Stick SkillsNOTE: limited enrollment so register early!     Fees: $616.00 taxes included     Location: Burnaby Winter Club Map Oct 13 Oct 20 Oct 27 Nov 3 Nov 24 Dec 1 Dec 8 Dec 15 Jan 12 Jan 19 Jan 26 Feb 2 Feb 9 Feb 24Group 1- 2009 Birth YearOct 13, 20, 279:00am to 10:00amNov 3, 249:00am to 10:00amDec 1, 8, 159:00am to 10:00amJan 12, 19, 269:00am to 10:00amFeb 2, 9, 249:00am to 10:00amGroup 2 - 2010/2011 Birth YearsOct 13, 20, 2710:15am to 11:15amNov 3, 2410:15am to 11:15amDec 1, 8, 1510:15am to 11:15amJan 12, 19, 2610:15am to 11:15amFeb 2, 9, 2410:15am to 11:15amI would like to register for:Product Name*Group 1 - 2009 ($616 taxes Inc.)Group 2 - 2010/11 ($616 taxes Inc.) RegistrationPlayer InformationName* First Last Last Year Club and DivisionPosition-OLDPosition*ForwardDefenceGoalieBirthdate* DD MM YYYYPlease enter players birthdate in the format dd/mm/yyyyPlace of Birth*Please enter the city/province in which the player was born.HeightWeightHistory of IllnessPlease enter a detailed account of any injuries / allergies or any other medical condition that coaches and staff should be aware of.Player Contact InformationAddress Street Address City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country PhoneParent / Guardian InformationName* First Last Email* Telephone*Please enter your home phoneMobile PhoneWaiver and Return and Delivery PolicyYou must agree to the waiver and Return and Delivery Policy below in order to register and for this player to attend the hockey session.Liability WaiverBy selecting the 'I agree to the Liability Waiver' checkbox below and clicking the submit button, I agree and understand that I/My child/My ward agree that Elite Level Development, its instructors, the Ice Hockey Arena and its employees will not be liable or held responsible for any accident or loss however caused and agree to release all mentioned parties from all claims and damages. I further verify that I/My child/My ward have no medical problems and am/is in good physical health and that the above mentioned parties will not be held responsible for any medical, dental, or insurance claims resulting from injury.I hereby grant Elite Level Development permission to use My/My child's/My ward's photo and/or name for promotional purposes.Return and Delivery PoliciesAll sales made through Elite Level Development Online Registration are subject to an administration fee for withdrawal from the program. After completing online payment, you are brought immediately to a receipt and confirmation page. This page acknowledges that you have completed the process and that your payment has been processed. You are instructed to print that page for your records. This page is your receipt and your product. This receipt should be kept as a record of your successful payment completion. This receipt is a record of your order is also kept on the Elite Level Development. There are no refunds 3 weeks prior to program starting through Elite Level Development. If you decide not to utilize the services for which you paid, you have the right to refrain from participating, however, no refunds are available. All sales through the Elite Level Development are subject to administration fee (third party payment fee is a final sale 25% of program cost). If you have questions about this return policy or need assistance contacting firstname.lastname@example.orgAgreement* I agree to the Waiver and Return and Delivery PoliciesCancellation Insurance I want cancellation insuranceTotal $ 0.00 CAD NameThis field is for validation purposes and should be left unchanged.