2019 Summer Hockey Development & Training
On and Off Ice Training every Tuesday and Thursday during the summer starting May 28th. Guest Coaches from NCAA, MN High School, former junior, college and pro.
Checks should be made out to Jake Pence for full amount of $650 and mailed to:
520 Parkwood Dr.
Windsor, Co 80550
If you have any questions please do not hesitate to contact Coach Pence at
Registration will be considered complete when payment is received.
More info at
High School (Contact Coach Pence for approval to get in)
Date of Birth
Hockey Association/Team Last Year:
Prospective Hockey Association/Team This Coming Year:
Upcoming Grade Fall 2019
Upcoming School Fall 2019
Player Cell #
Parent Primary Email
Parent Primary Cell #
Secondary Parent Email
Secondary Parent Cell #
Emergency Contact Name
In case of an emergency the parents will first be contacted, please provide a contact other then the parents
Emergency Contact Phone #
Size of T-Shirt
I hereby authorize the staff of Championship Hockey Training and Jake Pence to act for me according to their best judgment in any emergency requiring medical attention. I hereby release Championship Hockey Training, Jake Pence, and instructors from any liability for any injuries sustained at camp. I also certify that my child is medically fit to participate in this camp and has proper insurance for participation.
Parent please type your name, then your players name affirming that you have read the above and agree to the statement.
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