Privacy policy

Craig Sherbaty, Pacific Titans Athletic & Hockey Program’s privacy policy’s is to comply with legal and regulatory requirements. Our safeguard procedures protecting your information, we will respect your privacy. All physical and electronic personal information will not be sold or provided to a third party.
The information we request on our forms is for registration purposes and assessing future clinics.

To Register: Complete the on line registration form in detail with the date and program you are attending. All registration fees are due and must be paid in full to confirm your registration. Applicable taxes apply, please add 12% HST Cheque or Money orders made payable to: Pacific Titans Athletic Program mail to: 19002 60th Ave Surrey, BC V3S 7W4 Visa & Mastercard is accepted please call in with the type of card ie: Visa or Mastercard, name on card, card number & expiration date. PLEASE DO NOT EMAIL. Note: A receipt is available upon request and will be available for pick up on the first day of sessions.

Remember to list the program and date you are registering for, thank you.

Full gear is required, please bring your own water bottle

Fields marked with * are required

Your Name (required)*

Your Email (required)*

Home Phone Number

Cell Phone Number

Parents/Guardians Name

Mailing Address

Postal Code

Birth Date

Age

Hockey (Rep or House)

Years Playing

Position Played

GPA (if applicable)

Program(s) Attending

Date(s)

Cost(s)

12% HST

Total Amount Payable

Cheque or Money Order
Yes No 

Credit Card (Call in # 604-574-0405)
Visa Mastercard 

Registration, Payment & Refund Policy: Please fill out form and forward with full payment (non-refundable). Please ADD 12% HST, payable to Pacific Titans Athletic Program. Absolutely no refunds will be given, including a “no show”, anyone who leaves on his own desire or has been expelled or dismissed for any misconduct, no exceptions. We reserve the right to regroup the participants based on age, calibre and ice availability. A credit note will be available in the event of an injury or illness with the proof of a Dr's medical certificate. Rescheduling, NSF cheques will be subject to a $25.00 service charge.

I accept these terms

Disclaimer - We the applicant and his/her parents or legal guardians agree that Pacific Titans Athletic & Hockey Program, its owners, officers, employee’s, instructors, agents, coaches, supervisor’s along with the ice arena, recreational facility and their staff shall not be liable for nor held responsible for any incident or loss however caused and agree to release all mentioned parties from all claims and damages. I further verify that I am aware that my child will be participating in on/off ice sessions and at his/her own risk, and is in good health with No Medical Problems unless otherwise specified in writing. We further agree to be responsible for all medical and dental claims and/or insurance not covered.

Accept Do Not Accept 

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