TORONTO SPEED SKATING CLUB Summer Camp

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TORONTO SPEED SKATING CLUB Summer Camp Monday July 15 th Friday July 19 th and Monday July 22 nd Friday July 26 th The Toronto Speed Skating Club is excited to host a Dynamic Summer Camp that is focused on developing your technique to take you to another level. Location: MasterCard Centre, 400 Kipling Ave, Etobicoke, M8Z 5C8 The camp is focused on skaters 8 and older, who will be put into homogeneous groupings based on a combination of age, speed and ability. Consideration will also go into ensuring equitable opportunities for both males and females. We expect to sell out quickly, so please register early to avoid disappointment! Registration Deadlines: Application deposit of $250 must be received by May 1 st 2013 Confirmations will be sent out via email no later than May 10 th 2013 identifying your skating group and the cost The payment balance must be received by June 15 th 2013 In the event of selling out, a waiting list will be maintained based on the date the application was received Program: All skaters will receive 1 ¼ hours ice twice per day, plus 2 dryland sessions and tons of fun! There will be distinct groupings based on a combination of age, speed and ability. Groupings: Group 1 will typically consist of older, more advanced skaters. The coaching team will be led by Steve Robillard Group 2 will typically consist of intermediate skaters. The coaching team will be led by Gabriel Girard Group 3 will typically consist of younger, developing skaters. The coaching team will be made up of local coaches Camp Fees: Group 1 & 2 # Group 3 # Total $ Two weeks: July 15 19, 22 26 $700.00 $500.00 One week: July 15 19 $375.00 $275.00 One week: July 22 26 $375.00 $275.00 Total

Accommodations: BOARDING WITH A LOCAL FAMILY Local families have offered to billet skaters from out of town Cost of $150 per week to cover meals Places are limited; please indicate your interest and we will work to match your needs with an appropriate family Boarding / Billeting Request: Yes No Please mail registration and payment to: Toronto Speed Skating Club 9 Ronan Ave Toronto Ontario, M4N 2X8 Camp day registration: Monday July 15 th, or July 22 nd, 8:30 am at the MasterCard Arena Camp administrators: Desmond Preudhomme (desmond.preudhomme@gmail.com) and Josée Letarte (josee.letarte@rogers.com)

Coaches at the Camp will include: 2013 SUMMER CAMP REGISTRATION PACKET STEVE ROBILLARD A coach with the well regarded Regional Training Centre in Montreal, Steve is a highly sought after consultant in Quebec and internationally. His reputation as a world-leading blade technician is only part of what he offers. He is a leader in skating technique using the latest science of movement to design training programs that produce results. His own skating resumé is impressive: 25 years of experience, 8 years on the National Team, 4 individual World Cup medals, 2 time silver medalist at the World Juniors, a member of the 2005 World Record Canadian relay team, twice Canadian Open Champion, to name a few. Steve knows what it takes to compete, and he knows what it takes to develop skaters. GABRIEL GIRARD With 18 years in the sport as athlete and coach the last four as Coach of the Regional Training Centre in Quebec City Gabriel is developing a growing reputation for supporting speed skaters at the highest level, as his role as Head Coach for the Swiss long and short track teams (2012-13) proves. With his Physical Education degree, he has taken his experience and knowledge to find solutions to help skaters improve physically, technically and psychologically. AMANDA OVERLAND Amanda, who got her start on skates at the age of four, credits her speed skating family as the major influence on her love of the sport. Her father has been a well-known coach of the Cambridge Speed Skating Club for more than 25 years, while brother Kevin and sister Cindy are both former Olympians actively involved in the speed skating community. At the Torino 2006 Olympic Winter Games, Amanda realized her dream of being an Olympic champion, earning a silver medal with her four teammates in the 3000m relay. Amanda was a bronze medalist at the World Short Track Team Championships, the World Champion in the relay, and the Canadian Open Champion. Amanda earned her first two individual world cup medals in the 2004-2005 season, demonstrating enough talent to be recognized as Speed Skating Canada s 2005 Short Track Athlete of the Year. OTHER COACHES INCLUDE (not a complete list): Graeme Tickner, William Wallace, Dawn Drummond-Hill, Cameron Boyd

SKATER REGISTRATION SHEET 2013 SUMMER CAMP REGISTRATION PACKET Name (first, last): Date of Birth: Age: Gender: PBs - 400m (100 track) - 500m (100 track) - 500m (111 track) - 1000m (111 track) - 1500m (111 track) Other sports you do Languages spoken What do you consider your biggest skating accomplishment to date? What do you hope to get out of the Toronto Speed Skating Club camp? What would you like the coaches to know about you or to help you work on at the camp?

Waivers Mandatory Equipment: In accordance with SSC Regulation D3-100, all competitors must wear hard shell helmets, bibstyle neck protectors, cut and water resistant gloves or mitts, knee pads, shin guards, shatter-resistant protective sportglasses or a complete visor held in place by an elastic strap. The back corners of skate blades must be rounded off. Waiver: By signing this entry form, I hereby, for myself, my heirs, executors, administrators and assigns, waive and release any and all rights and claims for damages I may have against the City of Toronto, SSC, OSSA, the Toronto Speed Skating Club, their agents, officers, or members for any and all injuries suffered by me at said training camp to be held on July 15 19, and 22-26, 2013 at Toronto, Ontario. Signature of Participant : Signature of Parent or Guardian if participant is under 18: In witness whereof, I have here unto set my signature and seal this day of, 2013 This information is collected under the authority of the Freedom of Information and Protections of Privacy Act. It is required to register you in the camp Names/Images of participants may be published on boards, websites, media, newsletters and promotional material. Alternative contact and medical information will only be used in a medical emergency. If you have any questions about the collection of or use of this information, contact the Camp administrator at 647 778 6761.

TORONTO SPEED SKATING CLUB CAMP T-SHIRT ORDER FORM All participants receive a free camp T-Shirt as part of their camp registration. Additional T-Shirts (for gifts and souvenirs) may be ordered for $15 each. Please indicate your size and quantity preferences below. Skater s Name: Please indicate T-Shirt choice(s) Youth Ladies Standard Ages Quantity Inches Quantity Inches Quantity XS Chest 16, Length 23.5 S 6-8 Chest 18, Length 25 Chest 18, Length 28 M 10-12 Chest 20, Length 26 Chest 20, Length 29 L 14-16 Chest 22, Length 27 Chest 22, Length 30 XL Chest 24, Length 28 Chest 24, Length 31 Total First one per skater is free of charge, each additional shirt is $15. Please make cheques or money orders payable to: Toronto Speed Skating Club or TSSC Total enclosed: $

RECOMMENDED EQUIPMENT LIST FOR TORONTO SPEED SKATING CLUB CAMP Summers in the Toronto area can be very hot and humid. Please prepare for this possibility, expect high temperatures and high humidity and dress accordingly. Note: Lunch is not included in the camp registration fee. Skaters are encouraged to bring their own lunch in a cooler each day as no refrigeration is available at the ice rink facilities. Vending machines are available for drinks and snacks. On each Wednesday night we invite all participants and their families and friends to join us for a picnic dinner. Details will be shared at the camp but save that night. FOR ALL: Portable cooler with ice or freezer packs for lunch and drinks Sports drinks or water bottles, labeled with skater names - enough for a full day Inline skates (if you own a pair) FOR DRYLAND TRAINING: Jump rope Sunscreen Mosquito repellent Sun hat for outdoor dryland Good running shoes Comfortable running attire At least two dryland clothes changes daily Yoga mat Bath towel Optional but recommended: Corner belt or Techni-Cords if you have these Sharpening jig and stones, gauge,towel Skate blade wrenches (Allen keys) NB: Club jigs and sharpening equipment will be made available throughout the camp FOR SKATING: Short-track speedskates Skinsuit* with integrated shinguards Neckguard Gloves Helmet (skating or biking OK) Sports glasses Zip jacket Cut proof suits highly recommended *Can substitute stretchy pants with shin guards and a long-sleeved shirt Have extra blades? Always a good idea to bring them, just in case

AUTHORIZATION FOR MEDICAL TREATMENT Name (first, last): Date of Birth: Age: Gender: Doctor s - Name - Phone # - Emergency # OHIP / Health Plan # Allergies - To medications - Other allergies - Skater carrying an epipen? Conditions currently receiving treatment for Other significant medical information Parent / Legal Guardian: EMERGENCY CONTACT: Name: Address: Home phone: Cell phone:

AUTHORIZATION AND CONSENT OF PARENT(S) OR LEGAL GUARDIAN(S) I do hereby solemnly swear that I have legal custody of the aforementioned minor child. I grant my authorization and consent for ANY SENIOR MEMBER OF TORONTO SPEED SKATING CLUB (hereafter Supervising Adult ) to administer general first aid treatment for any minor injuries or illnesses experienced by the minor. If the injury or illness is life threatening or in need of emergency treatment, I authorize the Supervising Adult to summon any and all professional emergency personnel to attend, transport, and treat the participant and to issue consent for any X-ray, anesthetic, blood transfusion, medication, or other medical diagnosis, treatment, or hospital care deemed advisable by, and to be rendered under the general supervision of, any licensed physician, surgeon, dentist, hospital, or other medical professional or institution duly licensed to practice in the province in which such treatment is to occur. It is understood that this authorization is given in advance of any such medical treatment, but is given to provide authority and power on the part of the Supervising Adult in the exercise of his or her best judgment upon the advice of any such medical or emergency personnel. This authorization is effective commencing on the day of, 2013 and expiring one year from the date signed. Signed this day of, 2013. Parent s Signature Parent s Printed Name