Pinnacle Hockey Full/Half Day Camp August 14-18, 2017
Registration Information
Please carefully complete and sign this form. Full payment is required at the time of
registration. Space is limited. If camp is full, participant registrant will be notified
immediately. Please mail completed registration form and cheque to the address
below. No post-dated cheques please. NSF cheques will be subject to a $30.00 Fee.
Cash payments may be dropped off in person. E-transfer payments are accepted by
e-mailing [email protected]. Cancelations before July 15th will be
charged a 15% administration fee. Cancelations after July 15th are non-refundable.
For portions of the on ice sessions, players will be divided into age/developmental
groups. Pinnacle Hockey School reserves the right to take photographs of
participants during camp related activities to use on our website, and promotional
posters. The camp is for children whose Birth Year is from 2003-2012 will run from
August 14-18, 2017. ATB West, and surrounding facilities will be the primary
venue for this camp. Full day camp participants will have two ice sessions daily.
Half day camp participants will have one ice session daily. Other activities include
daily dry land training sessions, off-ice skills centre (shooting, puck control,
passing), non-hockey sports activity, video presentations and learning
opportunities.
Program Details
1) Full / Half Day Camps (August 14-18) - 3 Groups: Age Range 5-13 Year Olds
On and off ice focus for the camp:
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Daily power skating drills
Daily puck drills
Small area competition drills
Battle and competing skills
Shooting and scoring techniques
Learning how to execute at a high pace of play
Skills Competition
End of camp championship game
6:1 player to instructor ratio
Power Skating techniques
Game situation drills
Small area games
Written player evaluation and feedback
Off ice training (footwork, strength, core training)
Off ice skills centre (shooting, puck control)
Video sessions
Take your game to the next level lectures
Fun games and activities
Crafts
Optional full service lunch program
Much, much more!
Camp Session Times:
White - Full Day Camp (Birth Year 2010 - 2012) 7:30 a.m. – 1:15 p.m.
Half Day Camp
7:30 a.m. – 10:45 a.m.
Blue -
Full Day Camp (Birth Year 2007 – 2009) 8:30 a.m. – 3:00 p.m.
Half Day Camp
8:30 a.m. – 11:30 a.m.
Green - Full Day Camp (Birth Year 2003 - 2006) 9:30 a.m. – 4:00 p.m.
Half Day Camp
9:30 a.m. – 12:30 p.m.
Program Registration Form
Please Print Legibly:
Participant’s Name___________________________________________________
Date of Birth________________________________________________________
Level / Team 2016-17_________________________________________________
Position Preference___________________________________________________
Parent’s Name(s)____________________________________________________
Address (Incl. Postal Code)_____________________________________________
City/Town__________________________________________________________
Contact Phone(Home)________________(Mobile)________________________
Contact E-mail_______________________________________________________
Health Card #_______________________________________________________
Past Injuries / Notable Health Information_______________________________
Additional Notes__________________________________________________
Liability Waiver and Medical Release
I agree I shall provide health insurance to cover any personal injury and property
damage sustained by the player while participating in any activities during Pinnacle
Hockey Camp Sessions. In consideration of the participant in the Pinnacle Hockey
Camps, we do hereby forever release and discharge Pinnacle Hockey Camps, its
directors, Employees, and any person or corporation connected herewith from all
manner of action, injury, damages, costs, claims or demands which we shall or
make hereafter have, suffer or receive by reason of such participant in the
program. The release shall be binding on our heirs, assigns, executors and
administrations. It is agreed that Pinnacle Hockey Camps does not and shall not be
considered to guarantee or warrant such equipment as maybe used in conducting of
the said camp. It is further agreed that Pinnacle Hockey School is not responsible
for the loss of stolen personal articles or hockey equipment. There are no
exceptions. This is also my permission to have my child admitted and attended to
for medical or dental treatment in case of sickness or injury (if parent/guardian is
not present). Your signature confirms that you have read and understood our
waiver form, accompanying disclaimers, and registration information on this paper.
Parent/Guardian Signature:_______________________________________
Date:_________________________________________________________
Total Cost (Options): Please check off the camp and programs you are
registering for.
_____ $279 Incl. GST = White Full Day Camp (Birth Year 2010 - 2012).
*** Note: Special rate if payment and registration is received prior to June
20, 2017. Regular $279 Special promo rate $265. ***
_____ $175 Incl. GST = White Half Day Camp (Birth Year 2010 - 2012).
_____ $289 Incl. GST = Blue Full Day Camp (Birth Year 2007 - 2009).
*** Note: Special rate if payment and registration is received prior to June
20, 2017. Regular $289 Special promo rate $269. ***
_____ $185 Incl. GST = Blue Half Day Camp (Birth Year 2007 - 2009).
_____ $289 Incl. GST = Green Full Day Camp (Birth Year 2003 - 2006).
*** Note: Special rate if payment and registration is received prior to June
20, 2017. Regular $289 Special promo rate $250. ***
_____ $175 Incl. GST = Green Half Day Camp (Birth Year 2003 - 2006).
_____ $125 Incl. GST = Goaltending spaces available for players with birth
years 2003-2012. (Special Goaltender Full Day Camp Rate-List Birth Year
Here ______). *** Note: Special rate if payment and registration is
received prior to June 20, 2017. Regular $125 Special promo rate $80.
***
_____ $25 Pinnacle TM Jersey. Required if participant does not currently have a
Pinnacle jersey. New jerseys may be purchased. All players on ice must wear
Pinnacle jerseys.
______$30 Lunch Option. Full lunch, meal & beverage all 5 days. Food served
dependent on the day of the week may include pizza, pasta, chicken strips,
sandwiches, wraps, hot dogs, hamburgers, and chicken.
Total Payment: ____________
Cash / Cheque / E-Transfer
Send completed Registration form and cheque payable to:
Pinnacle Hockey School
446 Twinriver RD. W
Lethbridge, AB T1J 3Y9
If paying by E-transfer please ensure registration is either mailed or emailed. E-transfers should be e-mailed to
[email protected].
For more information Contact:
Phone / Text: (403)892-9755 E-mail: [email protected]
Website: www.pinnaclehockeyschool.com