Alaskan Made Hockey School Registration Form Name: Birthdate: Address: City: State: Zip: Telephone: Cell: E-Mail: Emergency Contact: Telephone: 2016-17 Team: F / D / G (Circle) Cash or Check (Circle) / Make payment to: POWER PLAY HOCKEY DEVELOPMENT Mailing Address POWER PLAY HOCKEY: 400 Orchid Circle, Anchorage AK, 99515 Parental Consent As a parent or legal guardian of the named child, I hereby give my consent for him/her to participate in any and all activities of this camp for which he/she is registered. I am aware of the inherent risks involved with playing the sport of hockey and will ensure that he/she is fully prepared for participation and take full responsibility for any and all injuries and accidents, which may be sustained by my child. I give my permission for my child to be treated promptly at any emergency medical facility. Statement Of Understanding Power Play Hockey Development is a recreational program exempt from the requirements of AMC 16.55 relating to licensed child care programs. To meet the requirements of the exemption, all children in the program are allowed to attend voluntarily and must be of school age, and Power Play Hockey Development may not assume responsibility for care of the children. By signing below, you acknowledge that you are aware that The Alaskan Made Hockey Camp is not a licensed child care facility, and accept the conditions set forth above. Parent or Legal Guardian Name: Parent or Legal Guardian Signature: Date:
PAYMENT OPTIONS $99 deposit secures each option below Option 1: 4 weeks - $995 Early Bird Registration before April30 th Option 2: 4 weeks - $1195 Registration Price after APRIL 30 th NEW...2 WEEK RATE AVAILABLE Option 3: 2 weeks - $600 ($300 per week...any 2 Weeks) NEW HYBRID CAMP - May 30 th June 2 nd / 8am 5pm 3 hours on ice each day / dryland / soccer / lacrosse Option 4: 1 week - $150 (Players attending 2 + weeks of the June Camp) Option 5: 1 week - $250 (Players attending 1 week Hybrid Camp) Please Circle which weeks you will be attending May 30 th June 2 nd June 5 9 th June 12-16 th June 19-23 rd June 26-30 th PAYMENT PLANS AVAILABLE ON ALL OPTIONS * 10% Family Discounts available
Alaskan Made Hockey - Camp Code of Conduct Guiding Principles; To ensure that the rights of all individuals are protected, while at the Alaskan Made Hockey Camp, To establish the safest & best possible learning environment. To ensure that breaches of the code of conduct are treated in a fair and consistent manner and within the expectations of staff and students. I will respect the Subway Sports Center, SAHA Moose Room, AT&T Sports Pavilion Facilities and their staff and Alaska Made Hockey Camp coaches by; Participants should comply with instructions given by any members of staff and should willingly participate in the daily routine of the camp NO Bullying (Zero Tolerance) Have a positive attitude I will be helpful to coaches and staff I will keep my hands to myself I will not steal or take anything from anyone without permission No name calling, No teasing, taunting, heckling or harassment or anything of that nature No bad or inappropriate language No energy drinks Any type of bullying and disrespect that takes place at the Alaskan Made Day Camp will be met with severe attention/punishment by the staff, i.e. suspensions or even expulsion if deemed necessary. If a child is continually guilty of disturbing others and repeated offenses of clear examples of bad behavior, the staff is prepared to make tough decisions about whether or not that child may continue attending the camp. It is paramount for the staff that parents be confident their children will be looked after responsibly and their well-being be preserved by maintaining an environment where everyone is able to have fun, be comfortable, and have what they need to put forth their best effort while trying to become a better athlete. I have read and agree to adhere to the above code of conduct of the Alaskan Made Camp. My child & I fully understand the code of conduct of the Alaskan Made camp and I agree to him/her receiving appropriate disciplinary action should he/she breach them. Signed (Student) Date: (Parent/Guardian)
Alaskan Made Hockey Camp - Daily Needs Full Set of Hockey Equipment Clean Gym Shoes Off Ice / Street Hockey Stick for stickhandling, shooting and street hockey stations. Snacks Water Bottle / Water Lunch (for those who are not participating in the lunch program) Medical or Health Needs (Inhalers, Epi pens, medicine, etc ) Any food allergies or medical issues: (Please list below and let our coaching staff know) Food Allergies: Medical Needs: Drop off and Pick Up Times (Early or Late arrival players will be asked to be in the SAHA Moose Room / Office, located upstairs in the Subway Sports Center) Camp starts at 8am and Ends at 5pm, we will have coaches on site 7:00am until 5:45pm Drop off time: Pick up time:
NEW for the 2017 Alaskan Made Camp Even More Ice Time for 2017!!! Alaskan Made NHL Allstar Skills Competition / Testing Video Analysis o Individual Video Our coaching staff will video skating and shooting techniques of each player. o Group Video Each weeks full ice game will be taped and replayed following the game for players to watch. Player Report Cards (Players attending 3-4 weeks) On and Off Ice Testing On and Off Ice Goalie Specific Sessions o 3-4 on ice / 3-4 off ice (Goalies Only) Skating Treadmill (All 3-4 week participants will use) Chalk Talk (Video and Smart Board Sessions) o Team Situations / Scenarios o Game Situations / Scenarios o Offensive and Defensive Positioning o Offensive and Defensive Structure
Back by popular demand Lacrosse Soccer Street Hockey Swimming Track Small Area Games Street Hockey Dodge Ball Plyos Speed and Quickness Power and Strength Conditioning Stickhandling Stations Passing Stations Shooting Stations Get Air (Optional) PLUS MUCH MORE!!!
CAMP HEADQUARTERS SAHA MOOSE ROOM CHECK IN AT 8AM EVERYDAY Blue Line Pub Coaches Office Upstairs Video Room Please leave gear in the designated gear storage areas. Do not block walkways, doors or the track stairs. No gear to be stored in the rinks entrance