Coaching Staff: 2015 The Pond Summer Camp Application Student Name: John Mihalik Hockey Director at The Pond Former Miami University Hockey School Associate Director Former Head Coach Miami University ACHA Men’s Team Former player at Kent State University Tom Moores Assistant Hockey Director at The Pond Former Professional Hockey Player (ECHL) Address: Eric Horshler Head Coach of Kentston High School Hockey Former player at Kent State University City: State & Zip: Parent Name: Parent Email: Parent Phone: Parent Signature: Player Information Birthdate: Position: Forward Defense Goalie Years of Hockey: PARENT SIGNATURE _________________________________ DATE_____________ Level of Hockey: Jersey Size: In consideration of being allowed to participate in any skating/sports programs and related events at The Pond, the undersigned acknowledges, appreciates and agrees that: The risk of injury from the activities involved in these programs is significant, including the potential for permanent paralysis and death, and while particular rules, equipment and personal discipline may reduce the risk, the risk of serious injury does exist. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releases (as defined below) or others, and assume full responsibility for my participation. I willingly agree to comply with any rules and regulations of the facility. If, however, I observe any unusual significant hazard in participation, I will bring such hazard to the attention of the earnest official immediately. I, for myself, and on behalf of my heirs, assigns, personal representatives and next-of-kin, hereby release and hold harmless The Pond and their managers, officers, employees and advertisers (collectively “releases”), with respect to any and all injury, disability, death or loss or damage to person or property, whether arising from the negligence of the releases or otherwise. I have read the release of liability and assumption of risk agreement, fully understand its terms and understand that I have given up substantial rights by signing it freely and voluntarily without any inducement. The Pond XXL XL L M S YL/XL YS/M Mail Registration to: The Pond 9999 East Washington Street Chagrin Falls, OH 44023 9999 E. Washington St. Chagrin Falls, OH 44023 www.skateatthepond.com Summer Hockey Camps June 22-26 Midget/High School June 29-July 3 Bantam July 6-10 Peewee & Bantam July 13-17 Mite & Squirt July 20-24 Peewee July 27-31 Bantam August 3-7 Mite & Squirt August 10-14 Midget/High School Camp Fee: Players $350, Goalies $250 The Pond T e l : 4 4 0 .5 4 3 .3 8 8 4 Summer Hockey Camps Camp Descriptions: Mite: (Birth Years: 07 & 08) Program is designed to promote basic skill development and primary team play concepts. Our focus will be providing a fun atmosphere with many games to enhance the players’ development. Squirt: (Birth Years: 05 & 06) Program is designed to promote basic skill development along with primary team play concepts. Angling rather than checking is introduced. Our focus will be providing a fun competitive atmosphere with many small area games to enhance the players’ development. Peewee: (Birth Years: 03 & 04) Program focuses on basic skill development, introduction of advanced skills and team concepts. Last ice session will focus on small area games and/or a full ice scrimmage. Bantam: (Birth Years: 01 & 02) Program focuses on advanced skill development and team concepts. A large focus is on properly delivering and receiving a body check. Our focus is to create a competitive atmosphere during small area games and scrimmages. Midget/High School: (Birth Years: 97, 98, 99, & 00) Program will have a training camp atmosphere. Camp is designed to prepare players for the high school or midget season. Players will benefit from plyometric training along with body weight strength and conditioning. Sample Schedule: Camp Selection Monday through Thursday: 8:30-9:15 am On-Ice Skating Development Camps (Please Check appropriate box) 9:30-10:30 am Off-Ice Dryland Training 10:30-10:40 am Snack (Provided) 11:00-11:50 am On-Ice Skills Session 12:00-12:30 pm Lunch (Provided) 12:40-1:20 pm Off-Ice Classroom 1:40-2:50 pm On-Ice Team Play & Small Area Games 3:00 pm Players Depart or Public Skate 3:00-5:00 pm ($6 per day) Mite Squirt Peewee Bantam Midget/High School Friday Schedule: 8:30-9:20 am On-Ice Skills & Small Area Games 9:30-10:15 am Off-Ice Dryland Training 10:45-11:45 am Final Game 12:00-12:45 pm Pizza Party Camp Date: _________________________ Method of Payment: Curriculum: Curriculum: MONDAY TUESDAY WEDNESDAY THURSDAY Skating Development Forward Skating Backward Skating Stops & Starts Crossovers & Power Turns - Dryland Training Dynamic Warm up & Stretching Plyometric & Core Agility & Speed Stickhandling & Strength Off-ice Sport Stickhandling Passing On-Ice Testing Shooting Review Classroom Sportsmanship & Respect Lecture Defensive Zone Offensive Zone Breakouts - Team Play & Small Area Focus Angling/Body Contact/Checking Defensive Zone Offensive Zone Breakouts Final Game Skills Session FRIDAY *Jersey *Pizza Party Check Credit Card Card #: ________________________ What the camp includes: *13 hours of ice *4.75 hours of dryland Cash Exp. Date: ______________________ *Snacks & Lunches For any questions about Summer Hockey Camps please contact John Mihalik at John@skateatthepond.com or by phone at 440.543.3884. The Pond website: www.SkateAtThePond.com Office Use Only Amount Paid Employee initials _______________ _______________