2014 SQUIRT Silver Goblet Ice Hockey Championships Being held at the Dodge County Ice Arena

1. 2014 SQUIRT Silver Goblet Ice Hockey Championships Being held at the Dodge County Ice Arena SQUIRT Silver Goblet Dates: WEEK 1 – (June 16, 17, 18, 19 ) WEEK 2 – (July 7, 8, 9, 10 ) & Week 3 (July 21, 22, 23, 24) Challenge your individual and team skills this summer at the silver Goblet. The Twelve day camp will work to improve every area of your game; a hockey school / hockey tournament all in one. Participants will be on the ice twice a day. the on-ice portion of the camp will cover all areas of hockey development; skating, shooting, passing, puck protection, playmaking, etc… The off-ice portion of the camp will consist of many different activities, including dry-land training, POWERSHOOTING, hockey video sessions, off-ice games (dodge-ball, stick-ball) and more. Join the fun today! Participant drop-off 7:15 AM participant pick-up at 4:00 PM daily. Full equipment is mandatory for the on-ice portion of the hockey camp (as set by Minnesota Hockey rules). The coaching staff will help with any equipment issues during the camp (tying skates, taping shin guards, sticks, etc…). Shorts, t-shirt, dry socks and gym shoes will be needed while off-ice. Each player is responsible for bringing their own (sack) lunch and lunch time drink; refrigeration for lunch will not be available. *Each Day the players will spend a couple of hours at the Kasson Aquatic center Participants will be placed on a team and will receive a team jersey and team socks to wear. At the conclusion of camp they keep the jersey and socks. TOP SHELF TOP SHELF SQUIRT Silver Goblet Skater - $475 drop-off 7:15 AM Pick-up 4:00 PM SQUIRT Silver Goblet goalie - $75 drop-off 7:15 AM Pick-up 4:00 PM Silver Goblet Fees: Payment in full ($475) or a deposit of $200 will hold a spot for your child. If you choose to send a deposit, the remaining balance of $275 is due by May 1st2014. Questions?... SMNCIG@GMAIL.COM www.topshelfhockeyschools.info NOTE: Cancelations will not be refunded unless a replacement is found.

2. 2014 SQUIRT Silver Goblet Player Information Form Send this information sheet and payment to: Silver Goblet Hockey Camp 1215 Istas Lane SW Oronoco MN 55960 NOTE: Please make check payable to Silver Goblet hockey camp. Player Name_______________________ Parent/s name__________________________ Date of Birth__________ Phone___________ emergency phone____________ Address______________________________________________ City_____________________ State______ Zip Code_____ E-Mail__________________________________________________________________ Last Season (‘13-’14) I played at this level: __________ (for example: PWA) This up coming season (‘14-’15) I will be a: __________ (for example: Peewee) Please (check the box) sign me up for the following position: Goblet Skater - $475 Goblet Goalie - $75 Participants will receive additional information from us when the SQUIRT division becomes full. If the Camp is full at the time we receive your information and payment, your money will be returned. Release of Liability / release of risk: I/We recognize and acknowledge the fact that ice hockey is a sport in which there are risks of injury to the participant. Desiring that the undersigned minor participant in Top Shelf Hockey School as a student and in consideration of their enrollment, I /We voluntarily recognize, accept and assume the risk to release Silver goblet HC, its affiliates, officials, employees, instructors and coaches from any and all liability. We authorize the staff to take action should a medical emergency arise: Insurance Company Name__________________________________________________________________ Policy #__________________________ Date_____________________ Parent or Legal Guardian Signatures______________________________________________________________