SUPERSKILLS CLINICS

4 GREAT SKATES RIGHT BEFORE TRAVEL TRY OUTS

BIRTH YEAR, DATES AND TIMES

2005 & Younger: 3/26 5:00p, 3/28 5:35p, 4/2 5:00p, 4/4 5:40p

2004/2003: 3/26 5:50p, 3/28 5:40p, 4/2 6:10p, 4/4 5:55p

2002/2001: 3/26 6:10p, 3/28 6:50p, 4/2 6:55p, 4/4 6:50p

2000/1999: 3/26 7:20p, 3/28 8:00p, 4/2 7:20p, 4/4 7:05p

Midget (98,97,96,95): 3/26 8:25p, 3/28 8:25, 4/2 8:05p, 4/4 8:15p

COST: $80 (limit 40 skaters/6 goalies each session)

$30 WALK IN FEE PER CLASS

                                                                  FULL EQUIPMENT IS REQUIRED                                          

PLAYER ENROLLMENT IS LIMITED TO EXPERIENCED TRAVEL PLAYERS ONLY.

FOR MORE INFORMATION CONTACT: Jeremy Hall, Director of Hockey

856-309-4400 ext. 2216 or jhall@comcast-spectacor.com

Player’s Name:_________________________________________________________________________

Address:_______________________________________________________________________________

City:______________________ State:_______  Zip:__________    Birth Date:____________  Age:_____

Home Phone:___________________ Work Phone:______________________

Parents Name:______________________________ E-Mail:______________________________________

12-13 Team:_________________________  Level of Play:_______  Years of Hockey Exp.:_____  Position:______

Please make checks payable to FLYERS SKATE ZONE

Please Return to:      Flyers Skate Zone Voorhees 601 Laurel Oak Rd Voorhees, NJ 08043

PARENTAL/PARTICIPANT CONSENT

In consideration of the student and/or his/her parent being permitted to register themselves and/or the participant in the cited clinic and/or program on this registration form, we do hereby forever release and discharge Flyers Skate Zone its officers, agents, employees and any person or corporation connected herewith from all manner of action      injury damages, costs, claims or demands which we shall or may hereafter have suffer or receive by reason of such participation in the registered clinic and/or program this release shall be binding on our heirs, assigns, executors and administrators.  Furthermore, I understand that the tuition is payable in full when the application is submitted to the rink office.  Participants under the age of 18 must have parent or guardian signature to participate in flyers skate zone programs.

_________________________________________________________             ___________

            Signature of parent, guardian or participant                 date