CORNERSTONE COMMUNITY ICE CENTER Presents

The ELLIS EDGE Power Skating

Clinic 2008

September 8^th & 9^th – for hockey players, ages 8-11

September 10th^th & 11^th – for hockey players, ages 12 & over

The hockey/power clinic will consist of a total of 1.5 hours of off ice instruction & 3 hours of on ice instruction. There is a limited amount of room in the clinic, and registration will be taken on a first come, first served basis.

Head coach:

Susan Ellis

- A Level 4 certified coach through Speed Skating Canada

- Susan was the U.S. Short Track Olympic team coach in 2002

- Sue has created her own programs for both hockey and speedskating, featuring online resources, instructional books and dvd’s, as well as off ice training tools to help all skaters develop to their full potential

- Her unique approach focuses on the techniques needed to create maximum power, balance and efficiency of skating

- To read more about the Ellis Edge approach, please visit the website www.ellisedge.com

Assistant coaches: Joey Gerarden and Shannon Holmes

Players must wear full equipment for on ice instruction, including stick. Coaches are welcome and encouraged to take part…please contact Shannon at shannyh@hotmail.com or call at 983-6614 to confirm that you are coming.

Schedule: Ages 8-11

Dates: Monday, Sept. 8^th & Tuesday, Sept. 9^th

Off Ice: 5:30 – 6:15 p.m.

On Ice: 6:30 – 8 p.m.

Ages 12 & over

Dates: Wednesday, Sept. 10^th & Thursday, Sept. 11^th

Off Ice: 5:30 – 6:15 p.m.

On Ice: 6:30 – 8 p.m.

Cost: $150 per skater

Discounts: Hockey players enrolled in both this clinic and one other Cornerstone fall 2008 checking, defensive or conditioning clinic, will receive a $5 discount from both programs. 2^nd player registered within an immediate family pays $25 less for this clinic, and the third skater in the same family pays $50 less.

PLEASE MAIL REGISTRATION FORM WITH COMPLETED WAIVER & PAYMENT TO:

ATTENTION: SHANNON HOLMES

CORNERSTONE COMMUNITY ICE CENTER

1640 Fernando Drive

De Pere, WI

54115

ADDITIONAL INFORMATION OR QUESTIONS:

Please call Shannon Holmes at (920)983-6614 or email at

shannyh@hotmail.com

HOTEL INFORMATION

Room availability may be limited. We urge you to make reservations as soon as possible. When making your reservation, ask for the Cornerstone Community Ice Center Rate.

The Days Inn Settle Inn Best Western

(Lambeau) (Near Airport &Casino) Washington St.

(920)498-8088 (920)499-1900 (920)437-8771

The Tundra Lodge Radisson Hotel Hampton Inn

(Has a water park.) (Near Airport & Casino) (Close to Rink)

(920)405-8700 (920) 494-7300 920-498-9200

Quality Inn & Suites Country Inn & Suites Microtel Inns

(Downtown Green Bay) (Close to the Rink) (Close to the Rink)

(920) 437-8771 (920)336-6600 (920)338-9000

DIRECTIONS TO CORNERSTONE

From US 41, exit on Main Ave (DePere Exit).

Go west on Main Ave approximately 3 miles.

Cross Packerland Dr.

Drive about 1/4 mile where Main Ave. will dead end.

Go left at the Dead end.

Cornerstone Community Center is the large green, gold and cinderblock building on the right hand side of the road

CORNERSTONE

ELLIS EDGE POWER SKATING CLINIC

September 2008

Name_______________________________________

Male______ Female______

Address_____________________________________

Phone No. (____)__________

City, State, Zip Code_____________________________

Hockey Level for 2008/2009 season:________________________

Registering For: (Circle one.)

Power skating – ages 8-11 Power skating – ages 12 & over

Mon. Sept. 8^th & Tues. Sept. 9^thWed., Sept. 10^th & Thurs. Sept. 11^th

5:30 – 8 p.m. 5:30 – 8 p.m.

Birth Date____________ Age____ (as of 9/1/08)

e-mail: _____________________

Amount Enclosed: ____________ Checks payable to Cornerstone Community Center, or CCC

__________________________________________

If under 18 and a parent is not present, authorized adult to act on their behalf.

RELEASE FORM

In consideration of acceptance of this application in the above program, I hereby waive, release and discharge any and all claims for damages I may have against Ellis Edge, Cornerstone Community Ice Center, their assigned personnel involved in the program, or officers and members for any and all liability arising out of or connected in any way with my participation in said program, even though liability arises out of negligence on the part of the persons or entities mentioned above, or for any claim for lost or stolen personal property of any description. It is further understood and agreed that this waiver, release and assumptions of risk is to be binding on my heirs and assigns. Further, the undersigned agrees properly wear all required safety equipment.

__________________________ __________________________

Applicant signature AND Parent or guardian (if under 18)

CONSENT FOR MEDICAL TREATMENT

I, the parent of _____________________________, (childs name) if I cannot be contacted through reasonable efforts, hereby give permission to the officers and personnel of the Cornerstone Community Center & Ellis Edge to call or drive my child to the physician, dentist, or hospital if a need for emergency treatment exists. An ambulance may be called if necessary. I do hereby authorize the treatment by a licensed medical physician, of my child in the event of a medical emergency, which in the opinion of the attending physician, may endanger his/her life, cause disfigurement, physical impairment, or undue discomfort if delayed.

____________________________________ ____________

(Parent signature) (Date Signed)