Northwest Adventure Hockey Camp

.An experience you’ll never forget.

Register Now

How to Contact Us

Phone: 541-282-8430

Fax: 541-857-1753

E-mail: NWA.hockeycamp@gmail.com

To register via regular mail, print a PDF version of the registration form by clicking here.

Player Name
Parent Name
Address
City State Zip
Phone (day)
(
)
-
 Phone (night)
(
)
-
Email
Birth Date (mm/dd/yy)
/
/
Age Jersey Size
Attending Camp:
Squirt
Pee Wee
Bantam
U16
June 21-27
June 28-July 4
July 5-11
July 12-18
Height ft 
in
Weight pounds
Position Forward/Defense: $800Goalies: $500
Roommate Requested
Medical Insurance Company
Medical Insurance Policy #
Prefered Payment Method:
Check / Money Order
Credit Card
How did you hear about NWAHC?
All form fields are required.