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THE SPORT INTERNATIONAL HOCKEY
ACADEMY Email address:______________________________________________ Academy
Hockey Position: Forward Defense Goalie Doctor's Name:____________________________ |
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|
| City/State | Price | Arena, Date |
| O Canton, OH |
$315.00
|
Center Ice Sports Complex , June 16 - 20 |
| O Ft. Bragg, NC |
$285.00
|
Cleland Multi-Sports Complex, June 16 - 20 |
| O Hillsborough,NC |
$385.00
|
Triangle Sportsplex , June 16- 20 |
| O Rockville, MD |
$450.00
|
Cabin John Ice Rink, June 23 - 27 |
| O Nashville, TN |
$375.00
|
Centennial Sportsplex, June 23 - 27 |
| O Reisterstown, MD |
$400.00
|
Reisterstown Ice Arena , June 23 - 27 |
| O Raleigh, NC |
$395.00
|
The Rec. Zone, June 30 - July 3 (full program in 4 days) |
| O Louisville, KY |
$345.00
|
Iceland Sports Complex, July 7 - 11 |
| O Lake George , NY |
$315.00
|
Lake George Forum, July 7 - 11 |
| O Alexandria, VA |
$435.00
|
Mt. Vernon Rec. Center, July 7 - 11 |
| O Hershey, PA |
$325.00
|
Hersheypark Arena, July 14 - 18 |
| O Richmond, VA |
$460.00
|
Richmond Ice Zone, July 14 - 18 |
| O Cincinnati, OH |
$350.00
|
Sports Plus Arena, July 14 - 18 |
| O Dayton, OH |
$335.00
|
South Metro Ice, July 21 - 25 |
| O Hampton Roads,VA |
$335.00
|
Hampton Roads Iceplex , July 21 - 25 |
| O Baltimore, MD |
$385.00
|
Ice World, July 21 - 25 |
| O York, PA |
$325.00
|
York City Ice Arena, July 28 - Aug. 1 |
| O Wake Forest, NC |
$415.00
|
Factory Ice House, July 28 - Aug. 1 |
| O Strongsville, OH |
$325.00
|
Ice Land, USA, July 28 - Aug. 1 |
| O Charleston, SC |
$345.00
|
Carolina Ice Palace, Aug. 4 - 8 |
| O Columbus, IN |
$315.00
|
Hamilton Ice Center Arena , Aug. 4 - 8 |
| O Alexandria, VA |
$435.00
|
Mt.Vernon Rec. Center, Aug. 4 - 8 |
| O Jackson, MI |
$315.00
|
Jackson Optimist Ice Arena, Aug. 11 - 15 |
| O Greensboro, NC |
$395.00
|
Ice House of Greensboro, Aug. 11 - 15 |
| O Rockville, MD |
$450.00
|
Cabin John Ice Rink, Aug. 11 - 15 |
| O Dale City, VA |
$375.00
|
Prince William Ice Center, Aug. 18 - 22 |
| O Rochester, NY |
$325.00
|
ESL Sports Centre , Aug. 18 - 22 |
| O Ithaca, NY |
$355.00
|
"The Rink" (Lansing) , Aug. 18 - 22 |
| O Buffalo, NY |
$265.00
|
Leisure Rinks, Aug. 25 - 29 |
| O Niagara Univ. , NY |
$250.00
|
Dwyer Arena , Aug. 25 - 29 |
Camp Tuition, Is Based On Ice Prices, In Each Individual City!
| Available
Discounts (Please Mark Your Discount for Credit - One Discount Max. Per Application) |
|
O 7% Very Early Bird Discount (Full/One Time) payment before December 31/07 |
| O 5% Early Bird Discount (Full/One Time) payment before March 15/08 |
| O 5% Family Discount (2 or more family members-must be faxed/mailed together) |
| O 7% Group Discount (7 or more players in a group-must be faxed/mailed together) |
|
Please Register My Son/Daughter For The following Extras; O DVD Professional Skill Analysis ($15.00) |
| O "Youth Meal" - Lunch Program ($35.00) |
| O "Big Kid Meal" - Lunch Program ($46.00) |
| How did you hear about
the Sport International Hockey Academy? O Returning O Recommendation O Amer. Hockey Magazine O Rink Display O Mail O Internet O SIHA Regional Director |
| Additional Sport International
Offers: (Please Add The Additional Item(s) to my balance & Mail Immediately) |
|
| O Free Summer Camp Brochures For Friends #_____ | |
| O 50 Fast & Fun Hockey Drills DVD (for coaches) $25.00 (+ $5.00 S&H) | |
| O Skate Weights Training Equipment $40.00 (+$10.00 S&H) | |
| O Coach-Mate Rink Clip Board (dry erase)$22.00 (+$5.00 S&H) |
| O Speed-Chek Radar Gun $125.00 (+$10.00 S&H) |
| Please Indicate Your Method and Amount
of Payment For Our 2008 Instructional Tour |
| O Check/Money Order: $____________________ |
| O Visa
O Master Card
O Discover: $____________________ (50% Tuition Deposit Minimum) Card # __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __Exp. Date: __ __ / __ __ Credit Card Holders Name: _____________________________________ Authorized Signature: _________________________________________ |
| Waiver Claim: Acknowledging that
ice hockey is a contact sport, I agree that Sport International, Inc. its
agents, servants and employees shall not be liable to me for any injury
or damage resulting directly or indirectly from my participation in ice
skating and ice hockey, whether incurred on the ice or otherwise in or about
the buildings. I further agree that I discharge Sport International, Inc.
its agents, servants and employees from all actions, claims and demands
I may have for any injury or damage. I understand that my said agreements,
release and discharge shall bind by heirs, legal representatives and assigns
and shall insure to the benefit to Sport International, Inc., its agents,
servants and employees and their successors and assigns. It is further agreed
that Sport International, Inc. does not and shall not be considered to guarantee/warrant
such equipment as may be used in the conducting of said program. I also
give my consent to the Sport International Hockey Academy to treat my son/daughter
at their discretion, in case of any emergency incident that may arise throughout
the instructional week. Sport International, Inc., reserves the right to
use any pictures & videos taken during the program for research, instruction
and/or advertising. Parent/Guardian Signature (Required): X___________________________________________ Date: ____________________ |
| Head Office: (800) 724-6658
• Fax#: (585) 865-1802 • The Sport International Hockey Academy 3800 Dewey Avenue, #212, Rochester, NY 14616 |