2018 Summer Hockey Development & Training

On and Off Ice Training every Tuesday and Thursday during the summer starting June 5th. Guest Coaches from NCAA, WHL, MN High School, former junior, college and pro players.

Checks should be made out to Jake Pence for full amount of $650 and mailed to:

Jake Pence
520 Parkwood Dr.
Windsor, Co 80550

If you have any questions please do not hesitate to contact Coach Pence at jakepence14@gmail.com

Registration will be considered complete when payment is received.

More info at www.championshiphockeytraining.com

Which Camp?
First Name
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Last Name
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Date of Birth
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Hockey Association/Team Last Year:
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Hockey Association/Team This Coming Year:
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Upcoming Grade Fall 2018
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Upcoming High School Fall 2018
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School District
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Position
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Height
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Weight
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Player Cell #
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Player Email
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Parent Names
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Parent Primary Email
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Parent Primary Cell #
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Secondary Parent Email
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Secondary Parent Cell #
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Emergency Contact Name
In case of an emergency the parents will first be contacted, please provide a contact other then the parents
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Emergency Contact Phone #
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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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