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2015 HIGH PERFORMANCE HOCKEY CAMP
SKATE ZONE AT PENNSAUKEN
6725 River Rd
Pennsauken Township, NJ 08110
CAMP INCLUDES:
rd
June 29th – July 3 2015
Name: _________________________________________
Address: _______________________________________
City: ______________________State:_____ Zip: ________
Home Phone: (____)-________-_________
Cell Phone:
(____)-________-_________
Email: __________________________________________
Current Team: ____________________________________
Position: __ Offense ___Defense
Years Playing Experience _______ D.O.B.____/____/_____
List any medical conditions:________________________
Jersey Size: (Circle One) S M L XL
Check Group
____Bantam/Midget (Ages13-17)
____Squirt/PeeWee (Ages 9–12)
COST: $300.00 before May 1st and $350.00 after May 1st
Goalies: $100.00 but limited to 4 per group
Refund Policy: Refunds are available only up to 30 days prior to the
first day of camp and not any time after for any reason other than a
documented medical release.
Check/Money Order Payable to: High Performance Hockey
Submit completed registration form with payment to:
c/o HPH Camps
58 William Feather Dr.
Voorhees, NJ 08043
Hold Harmless Agreement
The above applicant agrees to follow the rules and regulations of HPH Camps and releases a
holds harmless HPH Camps from any and all injury and all liability, loss or damage.
Medical Release
The above applicant does hereby authorize HPH Camps and its employees and agents to make
any and all decisions in my absence regarding medical emergency treatment of the above
applicant and to sign the necessary hospital release forms in order to obtain medical attention.
In case of emergency I can be reached at the number provided on the form below.
Please sign below to indicate your agreement with regard to the above Holds Harmless
Agreement and Medical Release statements. Upon submission of this form, user/applicant
agrees that he/she is over 18 years of age or is the legal guardian of the person indicated in the
"Name" fields of this form.
Parent/Guardian:
______________________________________
Parent/Guardian Signature:
______________________________
Date: ____/____/____
Medical Insurance:
_____________________________________
Insurance ID #:
________________________________________
In case of emergency, I can be reached at the following phone
number: (_____)-________-_____________
• 1 HOUR & 15 MINUTES - ON ICE
• 1 HOUR - OFF ICE WORKOUTS
• 45 MINUTES - CLASSROOM/Q & A
TENTATIVE DAILY CAMP SCHEDULE
* SCHDULE SUBJECT TO CHANGE
MONDAY THRU THURSDAY:
5:00pm-6:15pm
On-ice
6:30pm-7:30pm
Off-ice Training
7:30pm-8:15pm
Classroom/Q & A
8:15pm
Pick Up
FRIDAY:
9:30am-10:45am
11:00am-12:00pm
12:00pm-12:30pm
12:30pm
ELITE HOCKEY CAMP
JUNE 29th -JULY 3rd 2015
SKATE ZONE AT PENNSAUKEN
6725 River Rd
Pennsauken Township, NJ 08110
On-ice
Off-ice Training
Classroom/Q & A
Pick Up
All Players:
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•
•
Must have gym shorts, t-shirts, running shoes
and water bottle
Must provide their own lunch
Must wear full USA hockey approved
equipment for all on ice activities.
NOTES
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•
•
•
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Spaces are limited so make sure you reserve your
spot today.
This is a fast paced, intense hockey camp and is
not intended for beginners.
Participation is not recommended for any players
who have any medical related issues or concerns
that may limit or affect your activity on or off the
ice, due to the nature of the camp.
Upon receipt of your registration and payment,
you will receive a confirmation email.
Any questions, please call 937-470-4812 or email
highperformancehockeycamps@hotmail.com
WWW.HIGHPERFORMANCEHOCKEYCAMPS.COM
RILEY COTE
Battling his way up the
ranks, he understands
what it takes to make it
to the next level. Cote
signed an AHL contract
with the Phantoms as a
free agent prior to the
2004-05 season and
helped the club to its second Calder Cup
championship. He then signed an NHL
contract with the Flyers prior to the 05-06
season and spent most of the next two years
with the Phantoms until earning a full-time
spot with the Flyers when he made the
team’s roster out of training camp prior to
the 07-08 season. Cote suited up 168 games
with the Phantoms and 156 with the flyers
and retired in 2010 after falling short to the
Chicago Blackhawks in the Stanley cup
finals. Riley is in his 5th year of coaching
professional hockey is currently the
assistant coach for the AHL’s Lehigh Valley
Phantoms.
SLAVA KOUZNETSOV
Slava has been the
skating coach for the
Philadelphia Flyers &
the newly relocated
Lehigh Valley
Phantoms for the last 7
years. He has coached
skating from minor hockey to the NHL
level in the last 12 years and has been the
personal skating coach for several players
which includes, Riley Cote, Oscars Bartulis,
Denis Seidenberg, Freddy Meyer and more.
Slava is also the skating coach for
Philadelphia Flyers Junior Elite team
(USPHL), Comcast AAA program, also
works with players and programs around
the world. Slava skated professionally for 10
years and has worked for companies like
Disney on Ice as a principal pairs skater. He
was a graduate at the Academy of Sports in
Russia in 1999.
RYAN PODELL
Ryan Podell is entering
his fifth season with the
Flyers, currently serving
as the strength and
conditioning coach. He
previously spent two
seasons as the strength
coach for the Adirondack
Phantoms. Prior to joining the Flyers
organization, Podell worked in various roles
with the Indianapolis Colts, the University of
Notre Dame’s football program, and at
Cooper Speed and Strength in Tampa,
Florida. Podell earned his Bachelor’s degree
in Exercise Science and his Master’s degree
in Sports Performance from Ball State
University, where he served two years as the
graduate assistant strength and conditioning
coach for the school’s Olympic sports. He is
also a licensed massage therapist (LMT),
RKC, CSCS, and USAW certified.
!
HIGH PERFORMANCE HOCKEY
JEREMY HALL
Jeremy Hall is in his
5th season as a Head
Coach with Team
Comcast. Jeremy
offers over 20 years of
playing experience
for his players. As a native of Mays
Landing, NJ, Jeremy left home while still
in high school to play 3 seasons in the
USHL/NAHL. Following juniors, he
played his college career at Division 1
UMass Lowell where he served as captain
his senior year, and then 3 season of pro
hockey in the ECHL. During his 4 years
as a coach, Jeremy has demonstrated
great dedication to helping his players
achieve their goal of playing Junior A and
College Hockey.
BIGGER • FASTER • STRONGER
The name of the game today is speed and
agility. Skating is the main ingredient for
any ice hockey player. We believe
breaking bad skating habits and creating
a solid skating foundation is necessary
before attempting to improve other
hockey skills. If you can’t skate you can’t
play hockey. It’s that simple. On ice we
will focus on skating and all other hockey
fundamentals. Off-ice will mainly consist
of plyometrics (explosive jumps), running,
and off-ice stick-handling. Will push all
players to elevate their tempo and pace of
the game, to give them the best chance at
improving at a sport they love.