TOP SHELF HOCKEY SCHOOL LAX HOCKEY 2013 CROSSOVER CAMP APPLICATION Please complete this registration form, make V your check out to TOP SHELF HOCKEY SCHOOL E www.topshelfhockeyschool.com Hyannis, MA 02601 2756 PO Box Top Shelf School Hockey O and mail to PO BOX 2756, Hyannis, MA 02601 R R Player Name ______C Home Address ______

______Email (MUST) ______2013 CAMP Home Phone ______TOP SHELF HOCKEY SCHOOL Cell Phone ______DOB ___/___/___ School Grade (9/13)_____

Hockey level and preferred position: Squirt PeeWee Bantam Defense Forward Goalie Lacrosse preferred position: Attack Midfield Defense Goalie Tuition: July $175 Lacrosse player only $275 Hockey player only $425 Dual (Hockey and Lacrosse) player 8th - 12th Amount enclosed: $______HYANNIS YOUTH & Parental Consent: I, the undersigned, agree to be bound by the rules and regulations of COMMUNITY CENTER the 2013 Crossover Camp and hereby release 141 Bassett Lane • Hyannis, MA and hold harmless Top Shelf Hockey School and Cape Cod Lacrosse and their staffs; Hyannis Rink, their agents, Our Cross Over Hockey / Lacrosse Combo Camp representatives and employees of all liabilities, promises to be one of the most exciting experiences loss or damage. for your child this summer. If your son likes the fast-paced action of ice hockey and lacrosse, Print Name ______he will truly enjoy participating in this camp! Signature ______(required) Phone Home ______www.topshelfhockeyschool.com Work ______Cell ______508-778-5585 Program Overview Daily Camp Schedule Coaching Staff 7:30am Arrival Two hours of on-ice hockey 8:00am- 10:00am On Ice Top Shelf Hockey School instruction and two hours of lacrosse John Danby - Co-Founder and Director of Player 10:00am Change; Development; Head Coach, New England Jr. Hurricanes per day allows your 8 to 16 year old snack / lunch • 7 years professional player • Boston University boy to obtain the best of both worlds. 10:45am- 12:45pm Lax Session Hall of Fame • Captain of BU “Triple Crown” Terriers Whether experienced or just learning 1:00pm Player pick-up and MVP of Beanpot, ECAC, NCAA Championships • 2-time NCAA National Champion lacrosse he is sure to come away with a (Players provide their own snack/lunch.) great experience. Paul Sherbertes - Co-Founder and Director of Curriculum and Training; Cost: Lacrosse player only $175 GM, New England Jr. Hurricanes Program On the ice the players will improve Hockey* player only $275 • 30 years youth hockey instructor at all levels • their skating and skills through a Hockey* and Lacrosse $425 NAHL assistant trainer • 13 years Division I High School variety of fun and competitive drills Varsity Assistant Coach, currently at Barnstable HS * featuring Brian Eklund, goalie instructor Tim Grace - Coach, New England Junior Hurricanes that will encourage them to take their • Asst. Coach Barnstable High School 2007-2010 game to the next level. On the indoor • Curry College - ECAC Player of the Week lacrosse surface, players will learn the • Kimball Union Academy fundamentals and advanced parts of Brian Eklund - Owner and Head Director of Deposit of $100.00 is due 6/15/13 Crease Goaltending School the game during various individual and is non-refundable for any reason. • Played four years NCAA Division I ECAC at Brown and team sessions that will ensure the Balance due 7/1/13. University and then at every level of the minors (, , Pensacola Ice group leaves with an increased Walk-ons additional $20.00 aspiration for the game. The camp will Pilots) before being drafted by the • Official member of the 2004 Tampa Bay Stanley Cup conclude on Friday with tournament PLEASE NOTE Champions • Holds multiple league records and honors style play. ALL PLAYERS MUST BE : A.) USA HOCKEY REGISTERED, Cape Cod Lacrosse Greg Clements -Owner and Director of CCL B.) U.S. LACROSSE MEMBER Players must have hockey experience • 1986 Falmouth High School • 2X All-American at OR BOTH TO PARTICIPATE in order to participate in the hockey Springfield College 1991 • 5 year veteran National AND SHOULD SEND Lacrosse League with Boston Blazers, Rochester portion of the Cross Over Camp. No CURRENT REGISTRATION Knighthawks (Finalist 1995 World Championships) experience necessary for lacrosse. • 24 yrs. of coaching experience (college, youth & HS) WITH APPLICATION Full equipment is required for both lacrosse and hockey sessions. for more registration information visit Additional CCL staff of current and former collegiate and high school players www.usahockeyregistration.com and coaches to be announced. www.uslacrosse.org