At
Stern Sports Arena
July
24-27, & July 31-Aug 3
Skill
Development-2006
*DIRECTOR/CONTACT:
MIKE DONAGHUE PH. 218-731-0283
E-mail:
mdonaghue@charter.net
(The
staff are all highly qualified, knowledgeable, and experienced)
Schedule:
8:00-9:50
a.m.
Girls 12U/H.S.
4:30-6:20 p.m. Squirts
10:00-11:50 a.m. Bantam/Peewee
6:30-7:30 p.m.
Mite/Termite
12:00-1:00 p.m.
Checking
7:45-9:45 p.m. Boys H.S.
1:00-2:00 p.m.
Goalies
Special Session: The
checking session will be offered as a special session for Peewee, Bantam, and
High School aged players. Any 12U
and older girls may participate in this session.
Goalies:
Goalies
will get an hour of instruction exclusively for them at no charge when
registered for their age appropriate session.
Each session will accept up to 4 goalies. The goalie session will be run
with a station format with a qualified goalie instructor.
FEES:
Squirts, Peewee, Bantams, Girls, Boys High School, Goalies:
$180.00
Mites:
$95.00
Special
Session (Checking):
$60.00
Fees cover both weeks of camp.
Discounts:
Family discount-first enrollment-regular fee.
Each additional family member will receive a $10.00 discount off of total
fee.
Deposit:
A 50%
deposit is due with application. You
may pay in full if desired. Remainder
of fee is required before first session.
Refund:
NO REFUNDS unless medical. A $35.00 administrative
fee will be charged on all refunds.
MAIL
REGISTRATION AND DEPOSIT BELOW TO:
MIKE DONAGHUE--1032
WEST SUMMIT—FERGUS FALLS—MN, 56537
Registration
due by June 15, 2006 Session
will be limited to the first 30 skaters and 4 goalies.
************************************************************************
REGISTRATION
FORM:
NAME____________________ADDRESS___________________________CITY______________STATE_______ZIP______
AGE:_________DOB_________________PARENT/GUARDIAN___________________________POS._________
TELEPHONE:
(H)______________________(W)_______________________E-MAIL_______________________
SPECIAL
HEALTH
CONDITIONS:________________________________________________________________
JERSEY
SIZE:______________________
To
Hockey Camp: Permanent waiver:
I/We the aforementioned parents or guardian and minor child recognize and
acknowledge the fact that ice hockey is a sport in which there are risks of
injury to the participant. Because
of this and desiring that the aforementioned minor participate in the Total
Hockey Skill Development camp, as a student, and in consideration of his/her
enrollment, we agree that we shall indemnify and save the Director, Instructors,
and Employees harmless from any and all liability or damages arising directly
out of or in connection with his/her enrollment and or participation in the
above mentioned hockey camp. Medical Release:
In the event of injury to______________________ while at camp, I
hereby consent and authorize the administration and all treatment of tests that
may be considered advisable or necessary by the emergency room physician or any
other clinic physicians.
Insurance company_____________________________ Policy Number____________________________________
I understand as a condition of enrollment I am responsible for providing medical
insurance coverage for any medical expenses incurred. I hereby acknowledge the health of my boy/girl to be ready
for the hockey camp. (A physical
may be desirable.)
Signature
Parent/Guardian:_________________________________________________________________________
SESSION:________________________TOTAL
FEE_____________________LESS DISCOUNTS__________________
TOTAL
AMOUNT DUE:__________________50% DEPOSIT_________________BALANCE
DUE:_________________
CHECK
NUMBER:____________
****YOU WILL BE NOTIFIED UPON RECEIPT OF REGISTRATION*****
Mail App & $ to: Mike Donaghue, 1032 West Summit, Fergus Falls, Mn 56537