**ATTENTION ALL HOCKEY PLAYERS**
XPLODE 2017 SUMMER HOCKEY CAMP
***ALL-POSITIONS--LIMITEDNUMBERS==REGISTERASAP***
“We’re excited as a staff to bring an Elite Hockey Camp to Chisago County. This is a
great opportunity for surrounding associations to build stronger competition and to
work with high level athletes ON ICE.”
Our goal at XST Summer Hockey Camp is to push your kid to their full potential and
improve their hockey skills. i.e. Edge Control, Power Skating, Puck Control, Stick Handling
& Shooting. This is a great opportunity for surrounding associations to work with College
Level Athletes and Trainers.
JUNE13TH---JULY27TH(JULY4WEEKOFF)12HOURSOFONICETRAINING!!
MITES/SQUIRTSONICE8:00AMTO9:30AM
PEEWEES/BANTAMSONICE9:50AMTO11:20AM
LOCATION:CHISAGOICEARENA
COST:$375PERPLAYER
CAMPWILLRUNFOR6-WEEKS,2X/WEEK.TUESDAYS/THURSDAYS
RegistrationInformationonBack
ToRegister:FillouttheRegistrationFormbelowanddropoff(alongwithpayment)totheXplodefacility.
FormandPaymentto:XplodeSpeedTraining.38955ForestBlvdNorthBranch,MN55056.*DonotMail*
JUNE13th--JULY27th(July4thWeekOff)12HoursofON-ICETRAINING
MITES/SQUIRTSONICE
8:00am–9:30am
PEEWEES/BANTAMSONICE
9:50am–11:20am
LOCATION:CHISAGOICEARENA
COST:$375PERPLAYER
**CAMPWILLRUNFOR6-WEEKS2X/WEEKTUESDAY/THURSDAY**
KeepthesectionabovefortheXSTCampDatesandTimes.
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Questions:Contact-651-210-6390(Brett)or612-720-2847(Cal)[email protected]
XSTHOCKEY2017--RegistrationForm
Athlete’sName:________________________________________________________________________Age:_______________Grade:___________
Address:________________________________________________________________________________________Position:__________________________
Shirt/JerseySize:(CircleOne)Child:SMLAdult:SML
PhoneNumber:______________________________________________Email:_________________________________________________________
WAIVER&RELEASEFORM
IfullyunderstandthatXplodeSportsTraining,LLCstaffmembersarenotphysiciansormedicalpractitionersofanykind.Withtheaboveinmind,I
herebyreleasetheXplodeSportsTraining,LLCstafftorendertemporaryfirstaidtomychildorchildrenintheeventofanyinjuryorillness,andif
deemednecessarybytheXplodeSportsTraining,LLCstafftocallourdoctorandtoseekmedicalhelp,includingtransportationbyaXplodeSports
Training,LLCstaffmemberoritsrepresentatives,whetherpaidorvolunteer,toanyhealthcarefacilityorhospital,orthecallingofanambulance
forsaidchildshouldtheXplodeSportsTraining,LLCstaffdeemthisisnecessary.
We,thestaffofXplodeSportsTraining,LLCrecognizeourobligationtomakeourathletesandtheirparentsawareoftherisksandhazards
associatedwiththesportsandphysicalactivity.Athletesmaysufferinjuriespossiblyminor,seriousorcatastrophicinnature.Athleticsandother
physicalactivitiescanbedangerousandcanleadtoinjuryordeath.
Parentsshouldmaketheirchildrenawareofthepossibilityofinjuryandencouragetheirchildrentofollowallofthesafetyrulesandthecoaches’
andstaffmember’sinstructions.
XplodeSportsTraining,LLCitscoachesandotherstaffmembers,willnotacceptresponsibilityforinjuriessustainedbyanystudent-athleteduring
thecourseofspeedcampsandotherphysicalactivities,orinthecourseofanyexhibition,orclinicinwhichhe/shemayparticipate,orwhile
travelingtoorfromtheevent.
Withtheaboveinmind,andbeingfullyawareoftherisksandpossibilityofinjuryinvolved,Iconsenttohavemychildorchildrenparticipateinthe
programsofferedbyXplodeSportsTraining,LLC,myexecutorsorotherrepresentatives,waiveandreleaseallrightsandclaimsfordamagesthat
mychildmayhaveagainstXplodeSportsTraining,LLCanditsrepresentativeswhetherpaidorvolunteer.
IalsoaffirmthatIknowandwillcontinuetoprovideproperhospitalization,health,andaccidentinsurancecoverage,whichIconsideradequatefor
bothmychild’sandmyownprotection.
Parent/GuardianSignature:______________________________________________________________________Date:_________________________________________________