2013-2014
LEARN TO PLAY HOCKEY
FOR THE BEGINNING HOCKEY PLAYERS
BOYS & GIRLS
Ages 5-13
The Future Rangers program provides skills training in skating, balance,
team-work, and game concepts. The program offers a solid foundation in
hockey fundamentals. From puck handling to passing, the Future Rangers
program teaches tomorrow’s stars the basic skills they need to succeed on the
ice and gives them the confidence to excel off of it. Prepare yourself for your
hockey future by learning from the best!
Friday Evenings
6:00 pm - 7:00 pm
Session 1
September 13th – November 1st
Session 2
November 8th - December 27th
Session 3
January 3rd - February 21st
Pre-Requisite
MUST HAVE PASSED HOCKEY SKILLS 1 and 2.
(See Learn to Skate Brochure for more details)
A program packed full of hockey fun and learning.
Emphasis placed on learning basic hockey skills and Fundamentals.
Learn to Play Hockey
Program Overview:
• To learn the basic skills required to skate
and play the game of hockey.
• To develop an understanding of basic
teamwork through participation in a variety of
activities and adapted game situations.
• To have fun while playing hockey and
engaging in physical activity.
• To be introduced to the concepts of
cooperation, fair play and sportsmanship.
Equipment Required To Play
Pricing
Ice Hockey Helmet with facemask,
Hockey Gloves, Skates, Athletic Cup,
Shin pads, Elbow pads, Shoulder pads,
& Ice Hockey Stick.
$160/ 8 Weeks
Ice Time Sports Complex offers loaner
equipment, available on a first come first
serve basis. Please contact Todd Mancuso
at 845-567-0005 for more details!
The undersigned parent(s) or guardian(s) of the below names minor
participant in the athletics/sports program and related events and
activities at the Ice Time Sports:
1. Acknowledge(s) that the participant will be engaging in activities that
involve risk of injury and property damage and the undersigned agree(s)
to assume all risk and responsibility in connection therewith.
2. Agree(s) to inspect the facilities and equipment and will advise
the coach or supervisor of any unsafe condition and will instruct the
participant to do the same and the participant will not participate until
safety is restored.
FREE RANGERS
HOCKEY JERSEY!
(New players only)
3. Agree(s) to be responsible for providing the participant with protective
equipment, including helmet if applicable.
4. Release(s) and discharge(s the Ice Time Sports, Mid-Hudson
Civic Center, Inc., Civic Properties, Inc. and their officers, directors,
employees, and agents from any and all claims, demands, actions and
causes of action arising out of the activities to be engaged in by the
minor, including without limitation, injuries to life, limb, or property.
There will be no refunds except for documented medical reason.
I/WE HAVE READ THE ABOVE DISCLOSURE, WAIVER AND RELEASE AND UNDERSTAND IT AND SIGN IT VOLUNTARILY.
Parent or Guardian Signature
Parent or Guardian Name
Date
/
21 Lakeside Road Newburgh, 12550 • icetimesports.org
/
2013/2014 Season
2013/2014 SEASON ICE TIME
LEARN TO PLAY HOCKEY REGISTRATION FORM
(Please Print Clearly)
Skater’s Name
Parents’/Guardians’ Names
Phone Number - Home
Phone Number - Cell
(
)
(
Date of Birth (i.e. 00/00/0000)
/
)
E-Mail Address
Age
/
Address
City
State
Zip Code
Check Season Attending
Session 1 Sept 13th – Nov 1st
Session 2 Nov 8th - Dec 27th
Session 3 Jan 3rd - Feb 21st
CREDIT CARD
Visa
Mastercard
Discover
Sec. Code
Exp. Date
Name on Card
/
/
Signature
Card #
CHECK
Check #
PAYMENT INFORMATION
Make checks payable to ICETIME. Return completed form and full
payment to Ice Time Sports Complex, 21 Lakeside Rd. Newburgh, NY
12550. There will be no refunds except for documented medical reason.
Amount
$
CASH
Amount
EQUIPMENT INFORMATION
The following equipment MUST be worn at all times for Ice Time
Sports Complex Learn to Play Hockey: Ice Hockey Helmet with
facemask, Mouth Guard, Neck Guard, elbow pads, gloves, athletic
cup, shin pads, & shoulder pads. Players without the proper
equipment will not be allowed to participate in on-ice events.
$
Parent/Guardian Signature
Relationship to Participant
Please sign waiver on front page
Official Use Only
Amount Paid
Date
$
CH
CA
CC
/
/
21 Lakeside Road Newburgh, 12550 • icetimesports.org