2015 Elite Development Camps Registration Form Camp Basics Who: Any player 3rd-12th grade (fall 2014) What: Elite Development Program Date: June 8th–July 9th (no Ice 6/29, 7/2) Time: 3rd-8th grade 5:30 M, 12:30 Thur. 9th-12th grade 6:30 M, 11:30 Thur. On some weeks over-lapping of groups may occur for skating drills to allow for more ice time per student Location: Lakeshore Sports Centre Fee: $165 per player. $100 for additional immediate family Take your game to new heights! www.liftoffhockey.com June 8th–July 9th Lakeshore Sports Centre Grades: 3-8th and 9-12th Open Registration until April 30th Limited registration after April 30th Send Checks to: Lift-Off Hockey 1710 Ricky Dr. Muskegon, MI 49445 Name: Age: Grade (in fall): Address: City: State: zip: Phone: School/ Grad year: ____________________ E-mail: _____________________________ Deadline for Registration: April 30th Playing experience: limited openings still available after 4/30 Years: Instructors: Due to the nature of hockey and any physical activity, I hereby, for myself, my heirs, executors, and administrators, waive and release any and all rights and claims for damages and losses I may have against Lift-off Hockey L.L.C. or their respective agents and representatives for any and all injuries suffered by me or my family during participation in any activity Eric Sikkenga– Coach, RPHS Bob Sikkenga- Coach, RPHS Carl Howell– Goalie Coach Guest Coaches to be named later This camp will focus development on individual skills and hockey development using skill focused drills and situational play to develop varsity level skills. On-Ice focus points - Skating - Puck control - Passing - Shooting - fun/ competitive drills For More information call: Eric Sikkenga @ 231-730-0989 E-mail: [email protected] Position: _____________ Level: Parent/Guardian Signature: Date: Emergency contact: Phone: ----------------------------------------Office use only below this point: Payment/ check #: Date received:_________