Vernon Vipers Prospect Camp Registration Form

VERNON VIPERS HOCKEY CLUB
3445 – 43rd Avenue, Vernon, BC V1T 8P5
Tel: 250-542-6022
Fax: 250-545-7360
Web: www.vipers.bc.ca
Email:[email protected]
Vernon Vipers Prospect Camp
Our Prospect camp will be held April 22nd- 24th 2016 in Vernon, BC. Each player will be guaranteed at least 4
games (Depending on playoff schedule). Camp will begin Friday afternoon and conclude early Sunday
afternoon.
This Showcase camp will consist of 6 Teams with 16 players each. My staff and I will expect the pace and
compete level of the camp to be very high with players trying to earn permanent positions on the Vipers for the
upcoming season.
The Vernon Vipers staffs expects this camp to be one of the most competitive camps we have had, with players
competing at a high level for roster spots on one of the most prestigious JR A programs in Canada. At the
completion of this Showcase camp we will provide you feedback on where you reside within our organization.
I also would like to indicate to you the importance of this Showcase camp as it will provide us which Vernon
Viper prospects will be invited to our main training camp or we will be signing players directly out of camp.
We currently have a high number of players moving on after this season. We have tremendous opportunity for
players to be able to come in and play prominent roles within our hockey team. I have enclosed a registration
form please fill out and mail/fax it back to the address or number listed on the form.
If you require further information please feel free to contact the Vipers office at 250-542-6022.
I look forward to seeing you in April and would like to wish you continued success for the remainder of the
season.
Yours in hockey,
Mark Ferner
Head Coach/GM
Vernon Vipers
Vernon Vipers Prospect Camp Registration Form
Personal Information
Name: _____________________________________________________________________________
Home Address: ______________________________________________________________________
City/State/Province/Zip: _______________________________________________________________
Home Phone: _________________________________Cell Phone: _____________________________
HT: _______ WT: ________ DOB (dd/mm/yyyy): _____________________________________
Fathers Name: ________________________________
Mothers Name: _______________________________
Email Address: ________________________________________________________________________
Hockey Information
Current Team/League: __________________________________________________________________
Head Coach: ___________________________________ Phone #: _______________________________
Previous Team/League: _________________________________________________________________
Position: _____________________________________ Shot: L or R
Stats from your last 2 seasons
Year________ Team____________________ GP_____ G (GAA) _____ A (SV %) ______ PIMS________
Year________ Team____________________ GP_____ G (GAA) _____ A (SV %) ______ PIMS________
Do you play any other sports? _________________________________________________________
Questions
What are the strongest assets of your game? Why?
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
______________________________________________________________________
Cost of Camp is $225.00.
Payment can be made by check or Visa. Checks payable to Vernon Vipers
Visa/MasterCard ___________________________________________
Expiry: _________
Signature____________________________________________
Return to:
[email protected] or Fax 250 545 7360 or mail to:
Vernon Vipers
3445 43rd Ave
Vernon, BC
V1T 8P5