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Registration Return this form with full payment.

Participant’s Name: ______

Address: ______ANDY NESS & DIANE NESS City: ______State: ______Zip: ______Minnesota Wild Skating Coaches

Phone: ______SCOTT BJUGSTAD Wild Shooting Coach Email Address: ______List team you played for during the 18-19 season: ______FALL 2019 ______Traveling players MUST list AA, A, or B1 level. WINTER/SPRING 2020 This line must be completed or application will not be processed.

List any health problems that we should be aware of: ______

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Parent/Guardian Signature: ______The school’s directors will not be responsible for any injuries or loss of property while student is attending school. The signature on this form absolves the school of all responsibility.

MITES & SQUIRTS HOCKEY: SPRING - BEST OF BOTH WORLDS: FALL - 8 Monday Sessions Spring - TRIA Shoot & Skate ___ Mites ($265) 6-Day Session ___ Squirts ($265) ___ Squirts & Pee Wees ($595) ___ Bantams & HS ($595) Winter - 8 Monday Sessions ___ Mites ($265) 8-Day Session (M/W) MITES & SQUIRTS ___ Squirts ($265) ___ Squirts & Pee Wees ($715) ___ Bantams & HS ($715) MONDAY NIGHT SESSIONS at TRIA RINK Spring - 6 Monday Sessions Extra 8-Day Session(T/Th) TRIA Rink (WILD Practice Facility) ___ Mites ($200) at HIGHLAND ARENA 400 Wabasha Street North, St. Paul, MN 55102 ___ Squirts ($200) ___ Bantams & HS ($715) 651-726-8742 | Triarink.com Total Amount Enclosed: $______Make checks payable to Andy Ness, ProEdge Power, LLC BEST OF BOTH WORLDS Mail registration form and payment to: ProEdge Power • P.O. Box 411 • Savage, MN 55378 SHOOTING & SKATING CAMPS You will receive a confirmation of registration via email one M/W at TRIA Rink (WILD Practice Facility) week before camp begins. 400 Wabasha Street North, St. Paul, MN 55102 P.O. Box 411 | Savage, MN 55378 CAMP COSTS ARE NON-REFUNDABLE 651-726-8742 | Triarink.com Email: [email protected] Questions? Call 651 485-1985 T/TH at Charles M. Schulz - Highland Arena Register online at www.ProEdgePower.com 800 Snelling Avenue South, St. Paul, MN 55116 WWW.PROEDGEPOWER.COM 651-695-3766 MITES & SQUIRTS HOCKEY SPRING - BEST OF BOTH WORLDS Coaches FALL - EIGHT MONDAY SESSIONS SHOOTING & SKATING CAMP at TRIA RINK Dates: Oct. 7, 14, 21, 28, Nov. 4, 11, 18 & 25 (M) ANDY NESS, Director Instructors: & Andy Ness, assisted by Diane Ness • Skill Development / Skating Coach MITES: 6:30 PM – 7:30 PM Location: TRIA Rink (400 Wabasha Street North, St. Paul) • Former Assistant Skating Coach for the Minnesota Gophers, SQUIRTS: 7:30 PM – 8:30 PM All sessions include 45 minutes of shooting instruction and 45 minutes and the U.S. Olympic Team Cost: $265.00. Payment due at time of registration. of skating instruction. Pee Wees/Bantams/H.S. MUST be AA, A or B1 • Certified by ACE (Personal Trainer) WINTER - EIGHT MONDAY SESSIONS players. DIANE NESS, Director Dates: Jan. 13, 20 & 27, Feb. 3, 10, 17, 24 & Mar. 2 (M) SIX-DAY SESSION at TRIA RINK • U.S. Medalist in figures and freestyle Dates: April 7, 8, 9, 14, 15 & 16 (T/W/Th) • Minnesota Wild Skating Coach MITES: 5:40 PM – 6:40 PM Cost: $595.00. Payment due at time of registration. • Skating Coach for the U.S. Olympic Women’s 2010 Team : 6:40 PM – 7:40 PM SQUIRTS • Former Skating Coach for the Minnesota Gophers Men’s and Cost: $265.00. Payment due at time of registration. 5:30 PM – 7:00 PM SQUIRTS & PEE WEES: Women’s Teams and Former Skating Instructor for the New Squirts and Pee Wees are separated into their own sections. SPRING - SIX MONDAY SESSIONS Jersey Devils Dates: March 9, 16, 23 & 30, April 6 & 13 (M) BANTAMS & HIGH SCHOOL: 7:15 PM – 8:45 PM • 46 years of teaching experience MITES: 5:40 PM – 6:40 PM EIGHT-DAY SESSION at TRIA RINK TROY STEVENS, Director SQUIRTS: 6:40 PM – 7:40 PM Dates: April 20, 22, 27 & 29, May 4, 6, 11 & 13 (M/W Series) • Skating Coach for Pavel Datsyuk Camp, Ekaterinburg, Russia Cost: $200.00. Cost: $715.00. Payment due at time of registration. • Former Assistant Skating Coach for the Minnesota Gophers, Payment due at time of registration. New Jersey Devils and the U.S. Olympic Team 5:30 PM – 7:00 PM SQUIRTS & PEE WEES: • Certified by ACE (Personal Trainer) 7:15 PM – 8:45 PM BANTAMS & HIGH SCHOOL: SCOTT BJUGSTAD • Minnesota Wild Shooting Coach EXTRA EIGHT-DAY SESSION at HIGHLAND ARENA • Former NHL Player ( & LA Kings) Location: Highland Arena (800 Snelling Ave S, St. Paul) • Former Minnesota Gopher and U.S. Olympic Team Player Dates: April 21, 23, 28 & 30, May 5, 7, 12 & 14 (T/Th Series) Cost: $715.00. JESSE SAMPAIR Payment due at time of registration. • Former College/Minor League Pro Player BANTAMS & BUTCH KAEBEL HIGH SCHOOL ONLY: • Head Coach CHL & ECHL Teams 7:15 PM – 8:45 PM • Player for St. Louis Blues’ Organization ADAM JOHNSON • Skating Instructor JOHN SEIBEL • Skating Instructor LANCE STEVENS -- PLEASE NOTE -- • Skating Instructor • EQUIPMENT REQUIRED: Helmet with approved face mask, stick, shin pads, athletic support with protective cup, internal mouth guard, elbow pads, Chris Porter shoulder pads, gloves, breezers and skates. • Former NHL Player (Minnesota Wild & St. Louis Blues) • You will receive a confirmation email one week before camp begins. • All camps will have limited numbers and registration is on a first come, first serve basis. CAMP COSTS ARE NON-REFUNDABLE LEVEL REQUIREMENT FOR 2019/2020: ALL PEE WEES/BANTAMS/H.S. MUST BE AA, A OR B1 PLAYERS