DO YOU WANT TO PLAY PRO HOCKEY?

COME OUT FOR

THE ELMIRA ENFORCERS INAUGURAL PRO PLACEMENT CAMP The FHL’s Elmira Enforcers are holding their Inaugural Professional Hockey

Placement Camp at in Elmira, this Friday,October 12 –

Sunday, October 14, 2018. General Managers, head coaches, and scouts will be

invited from other Federal Hockey League teams to evaluate participants and

recruit for their respective training camps.

A minimum of three (3) players will be invited to the Elmira Enforcers’ training

camp in October, and only the most qualified will be accepted. Join Head Coach and FHL Alumni Brent Clarke at the Inaugural Pro Placement Camp

Camp fee is $299.00 which includes on-ice sessions and two nights’ hotel accommodations (Friday, October 12 thru Sunday,

October 13, 2018). A $150.00 non-refundable deposit is required with registration. Please fill out this form with full payment

information, the player bio sheet, and signed waiver to complete your registration. Complete information can be returned to the

Enforcers via fax (607-733-2237), mail (155 N. Main St., Elmira, N.Y. 14901 c/o Elmira Enforcers Pro Placement Camp) or by

emailing camp administrator Brent Clarke at [email protected]. For more information call Brent Clarke at

217-799-3870. ------Please note that check-in is Friday, October 12, 2018. The Elmira Enforcers reserve the right to deny participation at their discretion. Name:______Phone: ______

Address:______City: ______State:______

Zip/Postal Code:______Secondary Phone:______Email:______

Please Indicate if You Are Traveling By: Airplane Automobile (circle one)

PAYMENT INFORMATION

Check (payable to Elmira Enforcers):_____ Visa:______MasterCard:______AMEX:______

Credit Card Number:______Expiration:______

Name As It Appears On Card:______Signature:______

***ALL REGISTRATIONS MUST BE RETURNED BY September 28, 2018*** Elmira Enforcers Hockey Pro Placement Camp Itinerary

Fri. October 12 – Sun. October 14, 2018

Friday, October 12,2018 1:00 pm – 5:00 pm Check in @ Holiday Inn 5:00 pm – 6:00 pm Register at First Arena Rec 6:00 pm Rink Meeting at First Arena 7:15 pm – 8:15 pm Black Team Practice 8:30 pm – 9:30 pm White Team Practice

Saturday, October 13,2018 10:00 am - Noon GAME: BLACK vs. WHITE 12:45 pm Camp Meal at First Arena provided by First Arena Catering 4:00 pm – 6:00 pm GAME: WHITE vs. BLACK 6:15 pm – 7:15 pm Goalie Workout 7:30 pm Dinner at First Arena

CHECK OUT OF YOUR HOTEL ROOM PRIOR TO SUNDAY GAME

Sunday, October 14, 2018 9:30 am – 11:30 am GAME: BLACK vs. WHITE Noon – 3:00 pm Post-camp meetings & Placement of Players

NOTE: ITINERARY IS SUBJECT TO CHANGE

HOTEL AND RINK INFORMATION Hotel: Rink: Holiday Inn Elmira-Riverview First Arena 760 E. Water St., Elmira, NY 14901 155 N. Main St., Elmira, NY 14901 (607) 734-4211 (607) 734-7825

PRO PLACEMENT CAMP STAFF Brent Clarke - Director Head Robbie Nichols – Director Coach/ Elmira Enforcers Owner/President Elmira Enforcers

Marc Witt- Director General Jonathan Kliment– Administrator Manager/Elmira Enforcers Dir. Broadcasting & Media Relations/Elmira Enforcers PLAYER PROFILE INFORMATION **PLEASE FILL OUT COMPLETELY**

Name:______

Home Phone:______Cell Phone:______

Email Address:______

Birthdate:______Height:______Weight:______

Position:______Citizenship:______

Last Team Played For:______Year:______

GP:_____ G:_____ A:_____ Pts:_____ PIM:_____ W:_____ L:_____ OT:_____ GAA_____ SVP_____

**PLEASE LIST TEAMS FRO PRIOR YEARS WITH STATS**

Last Team Played For:______Year:______

GP:_____ G:_____ A:_____ Pts:_____ PIM:_____ W:_____ L:_____ OT:_____ GAA_____ SVP_____

Last Team Played For:______Year:______

GP:_____ G:_____ A:_____ Pts:_____ PIM:_____ W:_____ L:_____ OT:_____ GAA_____ SVP_____

Last Team Played For:______Year:______

GP:_____ G:_____ A:_____ Pts:_____ PIM:_____ W:_____ L:_____ OT:_____ GAA_____ SVP_____

**Please Attach Playing Resume Along With Profile** The more statistics and information that you provide us will further benefit you when it comes to our evaluation of you as a player. Thank you! ELMIRA ENFORCERS PRO PLACEMENT CAMP Friday, October 12, 2018 – Sunday, October 14, 2018

WAIVER (Please Read and Sign)

Upon entering the Elmira Enforcers Pro Placement Camp I understand that participation in the sport of constitutes a risk to me of serious injury, including paralysis or death. I voluntarily and knowingly recognize, accept, and assume the risk and release the First Arena, the Elmira Enforcers, its affiliates, their sponsors, event organizers and officials from any liability therefore.

I have my own insurance if any injury was to occur. If an injury were to happen, I know I am 100% responsible for all bills and medical treatment that such injury would require.

If you understand and agree to this waiver, please sign and date this document. Refusal to sign waiver will disqualify you from participation in the Elmira Enforcers Pro Placement Camp.

Sign Name Date

Print Name Date

Witness Signature Date

Witness Print Name Date

Elmira Enforcers/First Arena Date