DefendingTheBlueLine

Mounds View Hockey Association Camp for Mites

Sunday evenings at 6:40pm starting June 16 - August 25, 2013 at Centennial Arena in Circle Pines, MN.

The program is run as a laid back game setting and will be 3 cross ice games suppurated by skill level and is open to all skill and ability levels of mite players. It takes place on Sunday nights from 6:40 to 7:40pm at the Centennial Arena, 4807 N. Rd., Circle Pines, MN and runs from June 10th to August 26th.

Submissions are based on availability of slots, status and rank of military parent(s). Who's Eligible?

Contact kcpfluger@defendingtheblueline.com with any questions regarding camps.

The submission form below is only for Mounds View hockey camps. Hurry, they fill up fast!

All questions with a * must be answered in order for submission to be sent to DTBL.  If all required questions were answered, then you will be taken to a thank you page after hitting submit.  If you remain on this page after hitting submit, then you will need to check your application for unanswered questions and resubmit.

Child's Name: *
Age: *
Gender: *	Girl  Boy
Skating Level: *	----Mite
Any Special Needs:
Parent/Guardian Name: *
Address: *
City: *
State: *
Country:
Zipcode: *
Email Address: *
Alternate Email Address:
Phone *
Parent Name (Service Member): *
Status: *	----Family of KIACombat WoundedCurrently DeployedCurrently ServingVeteran
Veterans Only: If you were deployed to a combat zone and you were honorably discharged, you must upload your DD214 validating that status in order to be eligible. Please marker out SSN before uploading documents:
Rank Priority: *	----E1E2E3E4E5E6E7E8E9WO1WO2WO3WO4O1O2O3O4O5O6
Service Member Unit Contact (Veterans please put "N/A"): *
Unit Contact Phone (Veterans please put "N/A"):
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