GK Hockey School - Clarkson University

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2017 Clarkson Men’s Hockey Development Camp Application Player’s First Name Player’s Last Name Desired Jersey Number

(last name & jersey number will appear on back of jersey)

A History of Excellence Clarkson has established a legacy of excellence that symbolizes proud tradition. Through the first 90 years of hockey at Clarkson, the Green & Gold have achieved many significant milestones, including becoming the fastest Division I college hockey program to compile 1,000 victories!

Men’s Hockey

2017 Development Camps July 10 - 15 Mite, Squirt, Peewees

Date of Birth ____/____/____ Male

Female

Parent’s Name(s) Address City State/Province

Zip

Parents Phone Numbers Home

Clarkson Men’s Hockey Accomplishments

Parent’s Email(s) Position (circle one) Forward

Defense

Goalie

Level Played for ’15 - ’16 Season Level for ’16 - ’17 Season Years of Hockey Experience Jersey Size (circle one) Youth: S/M - L/XL Adult: S - M - L - XL Current Hockey Association CHECK BOX THAT APPLIES

Player ($385)



Goalie ($185)

Player (of CU Employee) ($360) ID #

• 10 ECAC Hockey Regular Season Championships • 5 ECAC Hockey Tournament Championships • 20 NCAA Tournament Appearances • 36 All-American Selections • 6 Stanley Cup Winners • 6 Olympic Appearances • 24 current and former NHL Players • 76 current and former NHL Draftees

at Clarkson University’s Cheel Arena

Clarkson Men’s Hockey Camp Box 8734, 8 Clarkson Avenue 8 Clarkson Avenue Potsdam, NY 13699

Cell

Presented by Clarkson University Golden Knights Hockey Program

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On-Ice Instructional Staff Casey Jones

Men’s Hockey Head Coach Coach Jones is entering his 26th year of coaching at the Division I level and his 29th year instructing at hockey schools across the U.S. and Canada.

Phil Roy

Men’s Hockey Assistant Coach Roy was a standout defenseman for the Golden Knights during his career (’96-’00). Prior college coaching experience was at Merrimack, Neumann and Hobart.

Josh Hauge

Men’s Hockey Assistant Coach Hauge is in his second year with the Golden Knights and comes to Clarkson after spending 12 years in junior hockey. Previously, he was a Head Coach in Tri-City (USHL) and Fairbanks (NAHL).

Appearances By Current Golden Knights Men’s Players

2017 Camp Details

A Typical Day at Camp

Monday, July 10 - Friday, July 15

Mite (’08-’09), Squirt (’06-’07), & Peewee levels ('04-'05) Player

Player of CU Employee

Goalie

$385

$360

$185

Families with 2+ children at camp will receive a $50 family discount. This discount does not apply to goalies or players of CU employees. Daily lunch is included in the price. Contact us if your child has a food allergy and cannot participate.

• Arrive at Camp for Check-in • On-Ice Instruction • • • • •

Off-Ice Instruction Lunch (Included in Camp Fees) Recreation/Off-Ice Training On-Ice Instruction Depart from Camp/Check-out

The schedule varies for each group. An official schedule will be sent by email a few weeks before camp starts. All campers will participate in the “Official Game” during Friday’s final on-ice session.

Instructions for Registration Sign up by going to:

http://www.signupgenius.com/ go/5080D48A9A62FA2F49-clarkson OR

1. Complete registration form (reverse side) 2. Include check/money order or indicate credit card payment below.

50% min. deposit required with registration Balance due by 7/1/17

3. Return completed registration form & payment to: Clarkson University - Men’s Hockey Camp Box 8734 8 Clarkson Avenue Potsdam, NY 13699 Families with 2 or more players attending camp will receive a total discount of $50. Discount does not apply to players of CU employees or goalies. The hockey camp filled up quickly last year, so we recommend sending your registration form in as soon as possible to secure your spot. If the camp is full, we will put your child on a waiting list for cancellations.

Questions? Contact Josh Bartell at 315-268-4327 or [email protected]

METHOD OF PAYMENT Check/Money Order

2017 Development Camp Highlights • 3 hours of ice time daily • Specialized goalie instruction (limited to 4 per group) • Dynamic power-skating drills working on edges, foot speed, balance, control and agility • Skill development focused on puck handling, passing, shooting, team concepts and other specific hockey skills (including checking fundamentals for Bantams) • Off-ice training and skill development • Introduction to strength and conditioning basics • Quality supervision provided by coaches/staff • Free practice jersey • Controlled scrimmages daily • Friday’s final on-ice session is an “Official Game”

Credit Card (Visa, Master Card, Discover) No. Exp. Date

Security Code

Total Payment Included (min. 50% deposit) $ Clarkson’s Golden Knights Hockey Camp operates under the guidelines prescribed by the New York State Health Code. Equal Opportunity Policy: Clarkson University does not discriminate on the basis of race, gender, color, creed, religion, national origin, age, disability, sexual orientation, veteran or marital status in provision of educational opportunity or employment opportunities.

The balance must be paid by 7/1/17. No refunds will be given due to late arrival or voluntary early departure. Please make checks payable to Clarkson University. By signing below I understand that the tuition to be paid is for the designated dates and covers instruction and activities for campers. I am also certifying that my child is in good health and can participate in the activities of the camp. I understand that a complete health record including immunizations must be presented prior to registration. X

Signature of Parent or Guardian

Date

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