REGISTRATION
Camp Number:
Name and Surname
:
Street
:
City
:
Postal/Zip code
:
Country
:
Phone
:
Mobile Phone
:
Fax.
:
E-mail
:
Date of Birth
:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
01 (January)
02 (February)
03 (March)
04 (April)
05 (May)
06 (June)
07 (July)
08 (August)
09 (September)
10 (October)
11 (November)
12 (December)
Position :
forward
defenseman
goalie
Hockey club :
How long have you been playing :
Jersey size :
S
M
L
XL
XXL
How did you learn about the camp
?
help:
ihc@centrum.cz
Tel.:
+420 775 122 463, +420 777 122 463