2017 Stre 2017 Strength & Conditioning
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Instructions for for Registration Instructions Registration Instructions for Registration
Return completed registration form to: Return completed registration form & & payment payment to: Return completed registration & payment Return completed registration formform & payment to: to: Clarkson University Clarkson University Clarkson University Clarkson & Strength Conditioning Camp Strength &University Conditioning Camp Strength & Conditioning Camp Strength & Conditioning Camp Box 8734 Box Box 87348734 8734 Avenue 8 Clarkson 8Box Clarkson Avenue 8 Clarkson Avenue 8 Clarkson Avenue Potsdam, NY 13699 Potsdam, NY 13699 Potsdam, NY 13699 Potsdam, NY 13699
2017 Strength & Conditioning Conditioning 2017 Strength Conditioning 2017 Strength & 2017 Strength & Conditioning July 10 -- 6 Week High July 10 High 10 6 Week High JulyJuly 10 6 Week High Performance Camp Performance Camp Performance Performance Camp
Athletes Name M F Athletes Name Athletes Name M M F F Athletes Name Date of Birth ___/___/___ Shirt Size S M LM XL F of Birth ___/___/___ S L Date ofofBirth ___/___/___ Shirt SizeSize M LM L XL XL XL DateDate Birth ___/___/___ ShirtShirt Size SS M Parent’s Name(s) Parent’s Name(s) Parent’s Parent’sName(s) Name(s) Address Address Address Address City City CityCity State/Province: Zip: State/Province: Zip: State/Province: State/Province: Parents Phone Numbers Zip: Parents Phone Numbers Parents Phone Numbers Parents Phone Numbers Home Home Home Home Cell CellCellEmail Cell Parent’s Parent’s Email Parent’s Email
Parent’s Email For additional questions, contact Josh Bartell For additional contact Josh Bartell additional questions, contact Josh atFor 315-268-4327 or questions, [email protected] For additional questions, contact JoshBartell Bartell at 315-268-4327 or [email protected] 315-268-4327 or [email protected] atat315-268-4327 or [email protected]
X
Signature of Parent or Guardian
Date
at Clarkson University’s Cheel Arena at Clarkson University’s at Clarkson University’s Cheel Cheel Arena Arena
at Clarkson University’s Cheel Arena
Clarkson Strength & Conditioning Camp Box 8734 rkson Clarkson Strength Strength & Conditioning & Conditioning CampCamp Strength 8Clarkson Clarkson Avenue & Conditioning Camp 8734 Box 8734 Box 8734 Potsdam, NY Avenue 13699 larkson 8 Clarkson Avenue 8 Potsdam, Clarkson Avenue sdam, NY 13699 NY 13699 Potsdam, NY 13699
METHOD OF PAYMENT METHOD OF PAYMENT METHOD OF PAYMENT Check/Money Order METHOD OF PAYMENT Check/Money Order Check/Money Order Credit Card (Visa, Master Card, Discover) Check/Money Order Credit (Visa, Master Discover) Credit CardCard (Visa, Master Card,Card, Discover) No. Credit Card (Visa, Master Card, Discover) No. No. Exp. Date Security Code No. Exp. Security Exp. DateDate Security CodeCode Total Payment Included: (min. 50% deposit) $ Exp. Total Date Payment Included: (min. Security Code deposit) Total Payment Included: (min. 50%50% deposit) $ $ The balance must be paid by start the camp. Total Payment Included: (min. 50%ofdeposit) $ No refunds The balance must be paid by start ofcamp. theearly camp. No refunds The balance must be paid by start of the Nodeparture. refunds will be given due to late arrival or voluntary will be given due to late arrival or voluntary early departure. will be given due to late arrival or voluntary early departure. Please make checks payable to Clarkson University. The balance must checks be paidpayable by startto ofClarkson the camp. No refunds Please make University. Please makedue checks payable University. will be given to late arrivaltoorClarkson voluntary early departure. By signing below, I understand that the tuition to be paid is for Please make checks payable to Clarkson University. By signing below, I understand that the tuition topaid be paid Bydesignated signing below, I understand that the tuitionand to be is for the dates and covers instruction activities foris for the designated dates and covers instruction and activities for designated dates and covers instruction activities for campers. I below, am also certifying that mythe child isand intogood health Bythe signing that tuition be paid is for campers. amI understand also certifying my child inunderstand good health campers. I amI also certifying that that my child is in is good health and can participate in the activities of the camp. I the designated dates and instruction activities for can participate in covers the including activities theand camp. I understand andaand can participate in the activities of theof camp. I understand that complete health record immunizations must campers. I complete am also certifying that my child isimmunizations in good health that a health record including a complete health record including immunizations mustmust bethat presented prior to registration. and can participateprior in the of the camp. I understand be presented to activities registration. be presented prior to registration. that a complete health record including immunizations must X X Signature beX presented prioroftoParent registration. or Guardian Date Signature of Parent or Guardian Signature of Parent or Guardian Date Date
Presented by University Presented by Clarkson Clarkson University Presented by Clarkson University Golden Knights HockeyUniversity Program Presented byHockey Clarkson Golden Knights Hockey Program Golden Knights Program
Golden Knights Hockey Program
Coaching Coaching Coaching Staff Staff Staff Tad Tad Tad Johnson Johnson Johnson Tad Tad Tad Johnson Johnson Johnson isisinisinin his his his fourth fourth fourth year year year asasthe asthe the Golden Golden Golden Knights Knights Knights Strength Strength Strength and and and Conditioning Conditioning Conditioning coach, coach, coach, preparing preparing preparing both both both hockey hockey hockey programs programs programs forforfor the the the physical physical physical demands demands demands ofoftheir oftheir their sport. sport. sport. During During During Johnson’s Johnson’s Johnson’s first first first year, year, year, hehehe helped helped helped Clarkson Clarkson Clarkson gain gain gain itsitsfirst-ever itsfirst-ever first-ever NCAA NCAA NCAA Natonal Natonal Natonal Championship Championship Championship with with with the the the Women’s Women’s Women’s Ice Ice Ice Hockey Hockey Hockey team, team, team, and and and helped helped helped the the the Men’s Men’s Men’s team team team totoits toitsbest itsbest best season season season ininsix insix six years. years. years. Johnson Johnson Johnson isislooking islooking looking totobuild tobuild build upon upon upon the the the success success success ofofthe ofthe the past past past three three three years years years and and and develop develop develop aaa winning winning winning culture culture culture within within within the the the hockey hockey hockey programs. programs. programs. Previously, Previously, Previously, hehehe was was was atatthe atthe the University University University ofofof Minnesota Minnesota Minnesota working working working with with with many many many teams, teams, teams, including including including Men’s Men’s Men’s and and and Women’s Women’s Women’s Hockey. Hockey. Hockey.
2017 2017 2017 Camp Camp Camp Details Details Details 6-week 6-week 6-week Program Program Program (ages (ages (ages 14-17) 14-17) 14-17) June June June 1010-10 August - August - August 181818 Group Group Group AA- A- Lift Lift Lift Monday Monday Monday & &Wednesday &Wednesday Wednesday atat5at5or5or6:15pm or6:15pm 6:15pm Skate Skate Skate Tuesday Tuesday Tuesday & &Thursday &Thursday Thursday 5-6:30pm 5-6:30pm 5-6:30pm Group Group Group BB- B- Lift Lift Lift Tuesday Tuesday Tuesday & &Thursday &Thursday Thursday atat5at5or5or6:15pm or6:15pm 6:15pm Skate Skate Skate Monday Monday Monday & &Wednesday &Wednesday Wednesday 5-6:30pm 5-6:30pm 5-6:30pm
4 4Sessions 4Sessions Sessions Per Per Per Week: Week: Week: Monday-Thursday Monday-Thursday Monday-Thursday (2(2(2 Weight Weight Weight Room, Room, Room, 2 2on2onIce) onIce) Ice) Limited Limited Limited toto16 to16athletes 16athletes athletes per per per group group group AllAllSessions AllSessions Sessions will will will start start start atatCheel atCheel Cheel Weight Weight Weight Room Room Room (Located (Located (Located in in the in the the ground ground ground floor floor floor ofof Cheel of Cheel Cheel Arena) Arena) Arena)
2424total 24total total sessions sessions sessions
Josh Josh Josh Hauge Hauge Hauge
Men’s Men’s Men’s Hockey Hockey Hockey Assistant Assistant Assistant Coach Coach Coach
Hauge Hauge Hauge isisinisinhis inhis his second second second year year year with with with the the the Golden Golden Golden Knights Knights Knights and and and comes comes comes totoClarkson toClarkson Clarkson after after after spending spending spending 121212 years years years ininin junior junior junior hockey. hockey. hockey. Previously, Previously, Previously, hehehe was was was a aHead aHead Head Coach Coach Coach ininTri-City inTri-City Tri-City (USHL) (USHL) (USHL) and and and Fairbanks Fairbanks Fairbanks (NAHL). (NAHL). (NAHL).
Players Players Players $480 $480 $480
Clarkson’s Clarkson’s Clarkson’s Golden Golden Golden Knight Knight Knight Hockey Hockey Hockey Camp Camp Camp operates operates operates under under under thethethe guidelines guidelines guidelines prescribed prescribed prescribed byby the by the New the New New York York York State State State Health Health Health Code. Code. Code. Equal Equal Equal Opportunity Opportunity Opportunity Policy: Policy: Policy: Clarkson Clarkson Clarkson University University University does does does notnotnot discriminate discriminate discriminate onon the on the basis the basis basis of of race, of race, race, gender, gender, gender, color, color, color, creed, creed, creed, religion, religion, religion, national national national origin, origin, origin, age, age, age, disability, disability, disability, sexual sexual sexual orientation, orientation, orientation, veteran veteran veteran or or marital or marital marital status status status in in provision in provision provision of of educational of educational educational opportunity opportunity opportunity or or or employment employment employment opportunities. opportunities. opportunities.
Skating Skating Skating &&& Lifting Lifting Lifting Program Program Program The The The Workout Workout Workout - Over - Over - Over the the the course course course ofofthe ofthe the camp, camp, camp, you you you will will will learn learn learn how how how totoproperly toproperly properly warm warm warm up, up, up, develop develop develop speed, speed, speed, develop develop develop athletic athletic athletic strength, strength, strength, improve improve improve conditioning conditioning conditioning and and and fuel fuel fuel your your your body body body properly. properly. properly. The The The workout workout workout starts starts starts with with with a adynamic adynamic dynamic warm warm warm upupto uptohelp tohelp help get get get the the the body body body ready ready ready forforfor physical physical physical activity activity activity and and and improve improve improve movement movement movement ability, ability, ability, balance balance balance and and and coordination. coordination. coordination. Then Then Then moves moves moves totosprints tosprints sprints and and and plyometrics plyometrics plyometrics totoimprove toimprove improve speed speed speed and and and power power power before before before moving moving moving into into into the the the weight weight weight room room room totolearn tolearn learn proper proper proper movement movement movement mechanics mechanics mechanics and and and build build build athletic athletic athletic strength strength strength through through through progressive progressive progressive overload. overload. overload. Finally Finally Finally the the the workout workout workout will will will end end end with with with some some some conditioning conditioning conditioning designed designed designed totoprevent toprevent prevent injuries injuries injuries and and and improve improve improve ononice onice ice performance. performance. performance. Skating Skating Skating - Focusing - Focusing - Focusing ononskating onskating skating and and and skill skill skill development development development forforplayers forplayers players serious serious serious about about about making making making improvements. improvements. improvements. Practices Practices Practices will will will include include include implementing implementing implementing skills skills skills into into into game game game like like like situations situations situations using using using transition transition transition play play play and and and small small small area area area games. games. games. On-ice On-ice On-ice practices practices practices will will will bebeup-tempo beup-tempo up-tempo and and and similar similar similar totowhat towhat what the the the Golden Golden Golden Knights Knights Knights dododuring doduring during aaa regular regular regular week. week. week.
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Instructions for for Registration Instructions Registration Instructions for Registration
Return completed registration form to: Return completed registration form & & payment payment to: Return completed registration & payment Return completed registration formform & payment to: to: Clarkson University Clarkson University Clarkson University Clarkson & Strength Conditioning Camp Strength &University Conditioning Camp Strength & Conditioning Camp Strength & Conditioning Camp Box 8734 Box Box 87348734 8734 Avenue 8 Clarkson 8Box Clarkson Avenue 8 Clarkson Avenue 8 Clarkson Avenue Potsdam, NY 13699 Potsdam, NY 13699 Potsdam, NY 13699 Potsdam, NY 13699
2017 Strength & Conditioning Conditioning 2017 Strength Conditioning 2017 Strength & 2017 Strength & Conditioning July 10 -- 6 Week High July 10 High 10 6 Week High JulyJuly 10 6 Week High Performance Camp Performance Camp Performance Performance Camp
Athletes Name M F Athletes Name Athletes Name M M F F Athletes Name Date of Birth ___/___/___ Shirt Size S M LM XL F of Birth ___/___/___ S L Date ofofBirth ___/___/___ Shirt SizeSize M LM L XL XL XL DateDate Birth ___/___/___ ShirtShirt Size SS M Parent’s Name(s) Parent’s Name(s) Parent’s Parent’sName(s) Name(s) Address Address Address Address City City CityCity State/Province: Zip: State/Province: Zip: State/Province: State/Province: Parents Phone Numbers Zip: Parents Phone Numbers Parents Phone Numbers Parents Phone Numbers Home Home Home Home Cell CellCellEmail Cell Parent’s Parent’s Email Parent’s Email
Parent’s Email For additional questions, contact Josh Bartell For additional contact Josh Bartell additional questions, contact Josh atFor 315-268-4327 or questions, [email protected] For additional questions, contact JoshBartell Bartell at 315-268-4327 or [email protected] 315-268-4327 or [email protected] atat315-268-4327 or [email protected]
X
Signature of Parent or Guardian
Date
at Clarkson University’s Cheel Arena at Clarkson University’s at Clarkson University’s Cheel Cheel Arena Arena
at Clarkson University’s Cheel Arena
Clarkson Strength & Conditioning Camp Box 8734 rkson Clarkson Strength Strength & Conditioning & Conditioning CampCamp Strength 8Clarkson Clarkson Avenue & Conditioning Camp 8734 Box 8734 Box 8734 Potsdam, NY Avenue 13699 larkson 8 Clarkson Avenue 8 Potsdam, Clarkson Avenue sdam, NY 13699 NY 13699 Potsdam, NY 13699
METHOD OF PAYMENT METHOD OF PAYMENT METHOD OF PAYMENT Check/Money Order METHOD OF PAYMENT Check/Money Order Check/Money Order Credit Card (Visa, Master Card, Discover) Check/Money Order Credit (Visa, Master Discover) Credit CardCard (Visa, Master Card,Card, Discover) No. Credit Card (Visa, Master Card, Discover) No. No. Exp. Date Security Code No. Exp. Security Exp. DateDate Security CodeCode Total Payment Included: (min. 50% deposit) $ Exp. Total Date Payment Included: (min. Security Code deposit) Total Payment Included: (min. 50%50% deposit) $ $ The balance must be paid by start the camp. Total Payment Included: (min. 50%ofdeposit) $ No refunds The balance must be paid by start ofcamp. theearly camp. No refunds The balance must be paid by start of the Nodeparture. refunds will be given due to late arrival or voluntary will be given due to late arrival or voluntary early departure. will be given due to late arrival or voluntary early departure. Please make checks payable to Clarkson University. The balance must checks be paidpayable by startto ofClarkson the camp. No refunds Please make University. Please makedue checks payable University. will be given to late arrivaltoorClarkson voluntary early departure. By signing below, I understand that the tuition to be paid is for Please make checks payable to Clarkson University. By signing below, I understand that the tuition topaid be paid Bydesignated signing below, I understand that the tuitionand to be is for the dates and covers instruction activities foris for the designated dates and covers instruction and activities for designated dates and covers instruction activities for campers. I below, am also certifying that mythe child isand intogood health Bythe signing that tuition be paid is for campers. amI understand also certifying my child inunderstand good health campers. I amI also certifying that that my child is in is good health and can participate in the activities of the camp. I the designated dates and instruction activities for can participate in covers the including activities theand camp. I understand andaand can participate in the activities of theof camp. I understand that complete health record immunizations must campers. I complete am also certifying that my child isimmunizations in good health that a health record including a complete health record including immunizations mustmust bethat presented prior to registration. and can participateprior in the of the camp. I understand be presented to activities registration. be presented prior to registration. that a complete health record including immunizations must X X Signature beX presented prioroftoParent registration. or Guardian Date Signature of Parent or Guardian Signature of Parent or Guardian Date Date
Presented by University Presented by Clarkson Clarkson University Presented by Clarkson University Golden Knights HockeyUniversity Program Presented byHockey Clarkson Golden Knights Hockey Program Golden Knights Program
Golden Knights Hockey Program
Coaching Coaching Coaching Staff Staff Staff Tad Tad Tad Johnson Johnson Johnson Tad Tad Tad Johnson Johnson Johnson isisinisinin his his his fourth fourth fourth year year year asasthe asthe the Golden Golden Golden Knights Knights Knights Strength Strength Strength and and and Conditioning Conditioning Conditioning coach, coach, coach, preparing preparing preparing both both both hockey hockey hockey programs programs programs forforfor the the the physical physical physical demands demands demands ofoftheir oftheir their sport. sport. sport. During During During Johnson’s Johnson’s Johnson’s first first first year, year, year, hehehe helped helped helped Clarkson Clarkson Clarkson gain gain gain itsitsfirst-ever itsfirst-ever first-ever NCAA NCAA NCAA Natonal Natonal Natonal Championship Championship Championship with with with the the the Women’s Women’s Women’s Ice Ice Ice Hockey Hockey Hockey team, team, team, and and and helped helped helped the the the Men’s Men’s Men’s team team team totoits toitsbest itsbest best season season season ininsix insix six years. years. years. Johnson Johnson Johnson isislooking islooking looking totobuild tobuild build upon upon upon the the the success success success ofofthe ofthe the past past past three three three years years years and and and develop develop develop aaa winning winning winning culture culture culture within within within the the the hockey hockey hockey programs. programs. programs. Previously, Previously, Previously, hehehe was was was atatthe atthe the University University University ofofof Minnesota Minnesota Minnesota working working working with with with many many many teams, teams, teams, including including including Men’s Men’s Men’s and and and Women’s Women’s Women’s Hockey. Hockey. Hockey.
2017 2017 2017 Camp Camp Camp Details Details Details 6-week 6-week 6-week Program Program Program (ages (ages (ages 14-17) 14-17) 14-17) June June June 1010-10 August - August - August 181818 Group Group Group AA- A- Lift Lift Lift Monday Monday Monday & &Wednesday &Wednesday Wednesday atat5at5or5or6:15pm or6:15pm 6:15pm Skate Skate Skate Tuesday Tuesday Tuesday & &Thursday &Thursday Thursday 5-6:30pm 5-6:30pm 5-6:30pm Group Group Group BB- B- Lift Lift Lift Tuesday Tuesday Tuesday & &Thursday &Thursday Thursday atat5at5or5or6:15pm or6:15pm 6:15pm Skate Skate Skate Monday Monday Monday & &Wednesday &Wednesday Wednesday 5-6:30pm 5-6:30pm 5-6:30pm
4 4Sessions 4Sessions Sessions Per Per Per Week: Week: Week: Monday-Thursday Monday-Thursday Monday-Thursday (2(2(2 Weight Weight Weight Room, Room, Room, 2 2on2onIce) onIce) Ice) Limited Limited Limited toto16 to16athletes 16athletes athletes per per per group group group AllAllSessions AllSessions Sessions will will will start start start atatCheel atCheel Cheel Weight Weight Weight Room Room Room (Located (Located (Located in in the in the the ground ground ground floor floor floor ofof Cheel of Cheel Cheel Arena) Arena) Arena)
2424total 24total total sessions sessions sessions
Josh Josh Josh Hauge Hauge Hauge
Men’s Men’s Men’s Hockey Hockey Hockey Assistant Assistant Assistant Coach Coach Coach
Hauge Hauge Hauge isisinisinhis inhis his second second second year year year with with with the the the Golden Golden Golden Knights Knights Knights and and and comes comes comes totoClarkson toClarkson Clarkson after after after spending spending spending 121212 years years years ininin junior junior junior hockey. hockey. hockey. Previously, Previously, Previously, hehehe was was was a aHead aHead Head Coach Coach Coach ininTri-City inTri-City Tri-City (USHL) (USHL) (USHL) and and and Fairbanks Fairbanks Fairbanks (NAHL). (NAHL). (NAHL).
Players Players Players $480 $480 $480
Clarkson’s Clarkson’s Clarkson’s Golden Golden Golden Knight Knight Knight Hockey Hockey Hockey Camp Camp Camp operates operates operates under under under thethethe guidelines guidelines guidelines prescribed prescribed prescribed byby the by the New the New New York York York State State State Health Health Health Code. Code. Code. Equal Equal Equal Opportunity Opportunity Opportunity Policy: Policy: Policy: Clarkson Clarkson Clarkson University University University does does does notnotnot discriminate discriminate discriminate onon the on the basis the basis basis of of race, of race, race, gender, gender, gender, color, color, color, creed, creed, creed, religion, religion, religion, national national national origin, origin, origin, age, age, age, disability, disability, disability, sexual sexual sexual orientation, orientation, orientation, veteran veteran veteran or or marital or marital marital status status status in in provision in provision provision of of educational of educational educational opportunity opportunity opportunity or or or employment employment employment opportunities. opportunities. opportunities.
Skating Skating Skating &&& Lifting Lifting Lifting Program Program Program The The The Workout Workout Workout - Over - Over - Over the the the course course course ofofthe ofthe the camp, camp, camp, you you you will will will learn learn learn how how how totoproperly toproperly properly warm warm warm up, up, up, develop develop develop speed, speed, speed, develop develop develop athletic athletic athletic strength, strength, strength, improve improve improve conditioning conditioning conditioning and and and fuel fuel fuel your your your body body body properly. properly. properly. The The The workout workout workout starts starts starts with with with a adynamic adynamic dynamic warm warm warm upupto uptohelp tohelp help get get get the the the body body body ready ready ready forforfor physical physical physical activity activity activity and and and improve improve improve movement movement movement ability, ability, ability, balance balance balance and and and coordination. coordination. coordination. Then Then Then moves moves moves totosprints tosprints sprints and and and plyometrics plyometrics plyometrics totoimprove toimprove improve speed speed speed and and and power power power before before before moving moving moving into into into the the the weight weight weight room room room totolearn tolearn learn proper proper proper movement movement movement mechanics mechanics mechanics and and and build build build athletic athletic athletic strength strength strength through through through progressive progressive progressive overload. overload. overload. Finally Finally Finally the the the workout workout workout will will will end end end with with with some some some conditioning conditioning conditioning designed designed designed totoprevent toprevent prevent injuries injuries injuries and and and improve improve improve ononice onice ice performance. performance. performance. Skating Skating Skating - Focusing - Focusing - Focusing ononskating onskating skating and and and skill skill skill development development development forforplayers forplayers players serious serious serious about about about making making making improvements. improvements. improvements. Practices Practices Practices will will will include include include implementing implementing implementing skills skills skills into into into game game game like like like situations situations situations using using using transition transition transition play play play and and and small small small area area area games. games. games. On-ice On-ice On-ice practices practices practices will will will bebeup-tempo beup-tempo up-tempo and and and similar similar similar totowhat towhat what the the the Golden Golden Golden Knights Knights Knights dododuring doduring during aaa regular regular regular week. week. week.
