X-MEN SUMMER OFF-ICE HOCKEY DEVELOPMENT PROGRAM
The basic objective of the X-Men Off-Ice Hockey Development Program is to provide Long Term Player Development for players interested in sport specific conditioning opportunities in Hockey.  Complete the following online form to be submitted to X-Men Hockey.  Any inquires and questions regarding family prizing rates please email xmenhockey@stfx.ca 
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Justin Holland: Off ice instructional lead
Instructor Bio
Justin Holland, a recent graduate of St. Francis Xavier University in Human Kinetics, and certified CPTN certification in personal training, joins the X-Men Staff.  Coach Brad Peddle is excited to have someone of Justin's qualification and passion to help further develop the youth in our local area.  Justin was a member and captain of the St. Francis Xavier Football team and recently represented St. F.X. Football at the East West Shrine Bowl.  Justin is also a two year member of the St. F.X Leadership academy and plans to attend X again this year to take education.  Justin is not only a qualified individual but also a tremendous role model for the participants of our program.   Justin was a stand out high school football player from Vancouver British Columbia and looks forward in contributing to the participants long term athletic development.
Player Name: Please fill out separate form for each child *
Date of birth *
MM
/
DD
/
YYYY
Program of interest *
Parent Name *
Parent email *
Address *
Phone Number *
Player's MSI *
Emergency Contact *
Emergency Contact Number *
902.XXX.XXXX
Past or existing Medical Condition(s) or injury(ies) *
Please disclose any medical conditions or injuries that we should know about.
Schedule Atom Peewee Bantam
Phase 1
June 6 to June 27  Monday, Wednesday and Friday.  Oland Stadium Turf.
Atom/Peewee 3:30-4:30 PM
Bantam 4:30-5:30 PM

Phase 2
July 4 to July 23rd Monday to Saturday
Atom/Peewee 10:00 am to 11:30 am
Bantam 11:00 am to 12:30 pm

Phase 3
July 27 to August 16th Monday to Saturday (Starting Wednesday the 27th)
Atom/Peewee 10:00 am to 11:30 am
Bantam 11:00 am to 12:30 pm

Schedule Midget/Jr. (Limited to 16 participants)
10 Weeks Monday to Friday

June 6 to June 29
Mondays Varsity Weight 6:30 to 8:00 pm
Tuesday Oland Stadium Turf 5:30 to 7:00 pm
Wednesday Varsity Weight 6:30 to 8:00 pm
Thursday Oland Stadium Turf 5:30 to 7:00 pm
Friday Varsity Weight 6:30 to 8:00 pm

June 30 to August 12

Mondays Varsity Weight 8:30 to 10:00 am
Tuesday Oland Stadium Turf 8:30 to 10:00 am
Wednesday Varsity Weight 8:30 to 10:00 am
Thursday Oland Stadium Turf 8:30 to 10:00 am
Friday Varsity Weight 8:30 to 10:00 am
Camp Fee *
Payment Options *
Cash or Cheques collected on June 6th for Atom/Peewee and Bantam please pay deposit of $130.00 on June 6th and posted cheques for the beginning of each phase of the camp.   Midget/Jr Payments are deposit of $175 June 6th,  $175 July 4th $175 and August 1st $150.  Please contact the hockey office if additional payment options need to be arranged.
Waiver and Consent Agreement


I acknowledge that participation in athletic and recreational activities involves the risk of personal injury. In consideration of the use of the facilities and equipment at StFX University by my child for athletic and/or recreational activities, I accept that risk, on behalf of my child, regardless of the nature of the injury. I agree and understand that the University, their officers, StFX Athletics & Recreation employees, agents and representatives shall not be liable for any personal injury or death, loss of property as a result of my child’s participation in athletic and/or recreational activities at the University. Each camp participant should have had a medical in the last 12 months and should have adequate medical and dental coverage.

I hereby consent that, in the case of a health emergency, I give permission for my child to be taken and seen by the on duty physician at the St. Martha’s Regional Hospital emergency room. Any charges resulting from healthcare provided will be the responsibility of the guardian/parent. I authorize the director of the StFX summer camp for which my child is participating in, to act for me, according to their best judgment, in any emergency requiring medical attention.

I hereby give permission for my child to participate in the StFX Athletics & Recreation summer camp program. I have read and agree to the above terms.

I hereby give my child permission to be photographed by StFX Athletics & Recreation staff and hereby understand that such photographs become the property of StFX and may be used for the purpose of any other promotional materials deemed necessary and/or relevant to our camp program.

View Waiver and Consent Agreement PDF Format

https://drive.google.com/open?id=0B7GrsEw1-wJheUd4ZnQ3MFMyd28

I agree to the 2015 StFX Summer Sports Camps Waiver and Consent agreement *
Required
Thank you
On behalf of X-Men Hockey we thank you for your continued support of our programs.
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