March Break Clinic 07

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APPLICATION _______________________________________ FIRST NAME LAST NAME _______________________________________ STREET ______________________ ___________ CITY PROV/STATE _____________________ POSTAL CODE ______________________________________ HOME PHONE NUMBER _______________________________________________ FATHER’S NAME ______________________________________ MOTHER’S NAME ______________________________________ EMERGENCY TELEPHONE NUMBER: _________________ _______________ YEAR OF BIRTH GENDER M / F SKILL LEVEL EARLY DEVELOPMENT q HOUSE LEAGUE q SELECT Q 'A' or 'AA' Q 'AAA' Q ________________________________________________ HEALTH CARD NUMBER: ________________________________________________ ________________________________________________ ALLERGIES / MEDICAL INFORMATION ________________________________ SPECIAL REQUESTS / FRIENDS ATTENDING Clinic Request PROGRAMS: (Please Check Applicable) Monday March 12, 2007 Tuesday March 13, 2007 Wednesday March 14, 2007 Thursday March 15, 2007 q Junior Development (Ages 6-8) 9:00 am–10:30 am q Intermediate Development (Ages 9-11) 11:00 am–12:30 pm q Senior Development (Ages 12-14) 1:00 pm-2:30pm GOALIE Q DEFENSE Q FORWARD Q PARENT’S DECLARATION: I give my approval to my child’s participation in all activities of The Murphy Hockey School and assume all risk and hazards incidental to such participation and do wave, release, absolve, indemnify and agree to hold harmless, other than for willful default or neglect on their part, The Murphy Hockey School or its employees ___________________________ _______________ PARENT SIGNATURE DATE REGISTRATION: Please, complete the application form in full and sign the Parent’s Declaration. Mail or drop off the application form and payment to: 14845 YONGE STREET, UNIT 6, P.O. BOX 183 AURORA, ONTARIO, L4G 6H8 (416) 407-3130 Check out of NEW website!: themurphyhockeyschool.com 14845 YONGE STREET, UNIT 6, P.O. BOX 183 AURORA, ONTARIO, L4G 6H8 MIKE MURPHY Senior VP NHL Hockey Operations THE MURPHY HOCKEY SCHOOL Limited Space ARE YOU READY FOR TRY-OUTS ? March Break Development Clinic March 12 - 15, 2007 Monday – Thursday 'Be Ready' Notification The MURPHY HOCKEY SCHOOL will acknowledge receipt of your application with an acceptance call, depending upon enrolment. A personalized information packet will be sent to you by mail the week prior to your camp. SEAN MURPHY Oshawa Generals Assistant Coach

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AT THE DROP OF A PUCK The MURPHY HOCKEY SCHOOL will focus on developing the skills required to prepare players for their approaching try-outs. The skills include shooting, passing, puck control, and power skating. (goalie skills included) SKILL DEVELOPMENT Our programs are designed to help build the fundamental skills necessary to maximize potential and enjoyment at each level. These Skills include shooting, passing, puck handling, and power skating. The basic tools you need to elevate your game to a higher level. QUALIFIED INSTRUCTION Our professional staff have been chosen for their leadership abilities and hockey skills. They are recognized for their outstanding athletic and academic achievements. SPORTSMANSHIP andamp; TEAM PLAY From early development to advanced hockey skills, sportsmanship, team play and fun are instilled through-out our program. FUN At the MURPHY HOCKEY SCHOOL our personal cornerstone philosophy is bases upon growth and skill development with FUN as the primary motivator. FACILITIES The Aurora Family Leisure Complex harbours a 35 acre comprehensive sporting facilities. The MURPHY HOCKEY SCHOOL program will develop the hockey skills of the younger player and lift them to a level required for more competitive play. Focus will be on skills of skating…using edges, balance, agility, pivoting, speed and acceleration, techniques of puck handling, passing and shooting. Players will be taught the proper techniques as well as developing a better understanding of the individual skills. Players are grouped by age and skill level Policies and General Information Ages: Boys andamp; Girls aged 6 to 13 years old Skill Levels Taught: Beginner to 'AAA' Dates and Times: March 12, 13, 14, 15 - 2007 -See 'Programs' for accurate dates and times (flip page) Payment Terms: Full payment of $150.00 for all four days. Cheque or Cash is the only terms of payment. Cheques must be dated no later than March 1, 2007. Please make cheques payable to: MURPHY HOCKEY SCHOOL Note: All prices include GST Goalies: Full payment of $75.00 for all four days. Equipment Complete Hockey Equipment. Health In signing this application the parent certifies that the player is in good health and has no abnormal handicaps. Jersey’s and Lunches not included KARL STEWART THE MURPHY HOCKEY SCHOOL Limited Space SEAN MURPHY Oshawa Generals Assistant Coach ARE YOU READY FOR TRY-OUTS? March Break Development Clinic March 12 - 15, 2007 Monday – Thursday (for any questions or concerns call) (416) 407-3130 Check out of NEW website: themurphyhockeyschool.com 14845 YONGE STREET, UNIT 6, P.O. BOX 183 AURORA, ONTARIO, L4G 6H8 'We can improve your skill level' BRENT REILLY Former Peterborough Pete