Red Berenson's Michigan Hockey Camp
2012 Summer Camp Individual Registration Form

If you are interested in attending Red Berenson's Michigan Hockey Camp, please fill out this online form and click the "submit" button to send it to the Red Berenson's Michigan Hockey Summer camp staff.

*** This year's camp will take place at the Arctic Coliseum in Chelsea, MI with residence at Bursley Hall on UM's North Campus. ***


Red Berenson's 2012 Michigan Hockey Camp will be held during the following dates:

Week 1 (July 15 - 19) (up to 200 campers)
Week 2 (July 22 - 26) (up to 200 campers)
The cost for attending camp this year:

Resident - $525 (Includes Breakfast, Lunch & Dinner)
Commuter - $400 (Includes Lunch & Dinner)

Camper Information:

Last Name:
 First name:
 M.I.:
Gender:
 Going into Grade:
Date of Birth:
 Age:
Street Address:
City:
 State or Province:
 Zip:
Home Phone:
Mother Name:
 Day Phone:
 E-mail:
Father Name:
 Day Phone:
 E-mail:


Player Information:

Position you would like to play: Current Level: (Varsity, JV, AAA, AA, House)

Jersey Size: (All adult sizes)

I wish to enroll in the following sessions:

If you would like to attend one week, please fill out a first and second choice. If you would like to attend multiple weeks, please fill out the according choice spaces. (**Please note: Campers staying consecutive weeks must check out on Thursday afternoon and check back in on Sunday afternoon.)

# of weeks I would like to attend:

1st choice:
Week #:
Camper type:(Resident or Commuter)

2nd choice:
Week #:
Camper type:(Resident or Commuter)


Even though you are completing this online registration form, you are not guaranteed a spot in your desired week until we receive your non-refundable deposit. You will also be asked to fill out additional documentation and return anytime prior to your desired week of camp (available after you click the submit button).



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General Information (734) 647-1201