Ultimate 5 Hockey Academy
Where we challenge you to train out of your Comfort Zone
Summer Hockey Camps
Midgets/Juniors- for the serious player ready to make the BIG jump
Monday and Wednesday (off-ice 1:00- 2:00pm on-ice 2:30-3:30pm)
Session 1 Session 2
6/22-7/22 7/27-8/26
High School- for all High School players Varsity and Junior Varsity
Monday and Wednesday (on-ice 3:40-4:40pm off-ice 5:00-6:00pm)
Session 1 Session 2
6/22-7/22 7/27-8/26
Peewee/Bantam- for all Peewee and Bantam ages
Monday and Wednesday (on-ice 6:20-7:20pm off-ice 7:40-8:40pm)
Session 1 Session 2
6/22-7/22 7/27-8/26
Price for registration- $300 if paid pre-camp
$350 on day of camp
$40 one-day session (includes off-ice)
Checks or Cash Only
BRING: RUNNING SHOES
SHORTS
T-SHIRT
WATER BOTTLE
HOCKEY EQUIPMENT
DEDICATION AND HARD WORK
CAMP DESCRIPTION
10 hours On-Ice per session improving
Stickhandling
Shooting
Passing
Skating
Checking
10 hours Off-Ice per session increasing
Strength
Speed
Power
Agility
Balance
INSTRUCTORS
Mike Scribner
Player Development Director and Strength Coach for Wolf Pack Hockey Program
Assistant Coach CYA U19 Girls
Former Pro Hockey Player
ACSM Certified Trainer
ASEP Certified Coach
Joe Hall
Current NCAA Div. III player
Wolf Pack Skills and Skating Instructor
Wellness Management Major
Athletic Coaching Minor
WAIVER AND RELEASE OF LIABILITY
PARTICIPATION AGREEMENT, RELEASE OF LIABILITY, WAIVER OF CLAIMS AND ASSUMPTION OF RISK BY SIGNING THIS DOCUMENT YOU ARE ENTERING INTO A CONTRACT WHEREIN YOU MAY BE WAIVING CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE.
TO: ULTIMATE 5 HOCKEY ACADEMY, HOFFMAN ESTATE PARK DISTRICT ARENA, their owners, officers, directors, agents, employees, and/or representatives of the above listed organizations:
ASSUMPTION OF RISK: I am aware that ice skating and fitness programs involves certain inherent risks, dangers and hazards which can result in serious personal injury or death. I am also aware the ice skating arenas AND fitness facilities contain potential dangers to the public. As such, I hereby freely agree to assume and accept any and all known and unknown risks of injury while participating in ice skating and fitness activities. I further recognize and acknowledge that the risks inherent in the sport of ice skating can be greatly reduced by taking lessons, abiding by the Skater Responsibility Code (now know as Your Responsibility Code) and by using common sense.
RELEASE AND WAIVER OF CLAIMS AGREEMENT: In consideration of allowing me to participate in the Arenas ice skating programs and fitness programs, leagues and activities and in consideration of the loan or rental to me of ice skating equipment, I hereby agree to the fullest extent permitted by law as follows:
1.TO ACCEPT FOR USE AS IS, any equipment loaned or rented to me and to keep it in my possession at all times;
2.TO WAIVE ANY AND ALL CLAIMS that I have or may in the future have against the ULTIMATE 5 HOCKEY ACADEMY AND THE Arena, any of the parties named above and/or the rental shop; and
3.TO RELEASE the above parties and any party named above and/or the Rental Shop from any and all liability for any loss, damage, injury or expense that I may suffer, or that my next of kin may suffer, arising from the ice skating programs and activities at the Arena and as a result of my participation in the Arenas ice skating programs, leagues and activities and use of the equipment loaned or rented to me, due to any cause whatsoever, including negligence of breach of contract regarding the design, manufacture, selection, installation, maintenance or adjustment of the equipment and in the operation, supervision, design, or maintenance of the Arena.
ARBITRATION: In consideration of allowing me to participate in the Arenas ice skating programs and fitness programs, leagues and activities and in consideration of the loan or rental to me of the ice skating equipment, I hereby agree to submit to binding arbitration any and all claims which I believe I may have against the Arena, the above named parties and/or the Rental Shop arising from my participation in the Arenas ice skating programs, leagues and activities and use of the equipment loaned or rented to me. The arbitrators shall apply the Federal Rules of Evidence to all proceedings. Arbitration shall be commenced within one (1) year from the date on which any alleged claim first arose. Further, the arbitration shall be held in the town where the Arena is located, unless otherwise mutually agreed to by all parties. The submission to the American Arbitration Association shall be unlimited and the arbitration award may be enforced by any court of competent jurisdiction.
BINDING EFFECT OF AGREEMENT: In the event of my death or incapacity, this Agreement shall be effective and binding upon by heirs, next to kin, executors, administrators, assigns and representatives.
ENTIRE AGREEMENT: In entering into this Agreement, I am not relying upon any oral or written representation other then what is set forth in this Agreement.
I HAVE READ AND UNDERSTAND THIS AGREEMENT AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE THE ARENA, ITS OWNERS, MANAGERS, EMPLOYEES AND/OR THE RENTAL SHOP.
___________________________________ __________________________________
SIGNITURE OF PARTICIPANT (DATE) SIGNITURE OF PARENT/GUARDIAN (DATE)
Questions? Comments? Or to Register
Email us at Ultimate5Hockey@hotmail.com
Phone: 815-608-5135
Make your check made payable to: Mike Scribner
Mail registration to:
504 N. Salem Dr.
Schaumburg, IL 60194