REGISTRATION FORM - European Hockey Summit '19

Esbjerg, Denmark; July 26-August 3, 2019

Player Name Player Name * First Last
Select Tour(s) *

Select Tour(s) Esbjerg, Denmark July 26-August 3, 2019
Player Gender *
Division *
Date of Birth - Player Date of Birth - Player * / MM / DD YYYY
Age during tour *
Position *
Shot *
Years of hockey experience *
Address Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone Home Phone * - ### - ### ####
Cell Phone Cell Phone * - ### - ### ####
Alternate Phone Alternate Phone - ### - ### ####
Email #1 *
Email #2
How did you hear about the Planet Hockey European Hockey Summit? *
Name from above if applicable
Name of Current Team (include level, ie - Buffalo Warriors Bantam AA) *
Player Height & Weight *
Jersey Number (3 choices in order of preference). Example: 25, 16, 47 *
Confirm Last Name to be on back of Jersey. *
Jersey Size (adult sizing). Goaltenders should select +1 size *
Do you plan to order additional jerseys? $85 each...great gifts. Includes Name, Number and Size of choice. *
Does the player have any food allergies? *

Does the player have any food allergies? No Yes, see below
List any allergies and/or other information below that would be helpful for your host family
How many total family members, including the player, plan to participate? *
List participating family members and ages below, excluding player *
Do participating family members currently have a passport valid through 12/31/19? *

Do participating family members currently have a passport valid through 12/31/19? Yes No - will arrange prior to departure
Fees & Deposit Due (per person) - Fees: Players $2,495, Family Members $2,495. Payment #1 ($500 Non-refundable Deposit) due to reserve space. Payment #2 ($1,000) due March 1. Payment #3 (final balance) due June 1. Deposit now due to reserve spots. Please pay amount due based on Registration date. *
Early Registration Special - Save $100 pp prior to Dec. 31, 2018
Hotel Accommodations (excludes player). Based on double occupancy *
List all family members who will stay at Hotel Britannia (excludes player).
Deposit/Payment preference *

Deposit/Payment preference Check - No fee. You will receive our deposit within 1 week. Mailing address will be provided once you click 'Submit' below. Credit Card - 3% fee assessed. Call Shawn at 720-304-3880 to apply payment. Other - see below
Deposit/Payment information from above.
Would you like your business to be considered as a team sponsor? Packages beginning at $300. *
I/we have read, understand and accept all tour terms and conditions. (www.planethockey.com/page/show/407703-terms-and-conditions) *
Signature - please type your name (and relationship to the player) below in acceptance of the tour terms and conditions. *
Would you like Shawn Killian to contact you with more Tour details and information? *
Additional Information