Sign-Up Players Name_________________________ Tri-Town Arena Address______________________________ City, State, Zip________________________ 311 W. River Road Phone_______________________________ Hooksett, NH 03106 E-mail_______________________________ Current Team_________________________ Hockey Level/Year_____________________ Hockey Experience____________________ ___________________________________ 20 16 Parents Name(s)______________________ Phone MANCHESTER MONARCHS Cell___________________________ PRE-PREP Work__________________________ DEVELOPMENT CAMP Email_______________________________ Jersey Size (circle one) Adult S M L XL ‘98, ‘99, ‘00, ‘01 Medical Release For More Information: July 18-22 I acknowledge that the applicant is in good health and is able to par- ticipate in the physical activities of the sport of ice hockey. In the event my child is injured during absence of parent or legal guardian, I give Contact Jeff Giuliano my permission for the person in charge to seek medical attention. [email protected] Tri-Town Arena Release of Liability Upon entering the Manchester Monarchs Hockey Camp, I/we under- (603) 801-0208 stand that participation in the sport of ice hockey, as well as this camp, Hooksett, NH constitutes a risk to me/us of serious injury, including permanent per- alysis or death. I/We voluntarily and knowlingly recognize, accept and assume this risk and release the Monarchs/Jeff Giuliano, its sponsors, staff members, the skating facility and officials from any liability. Signature _____________________________________ Only 15 spots Date _____________________________________ available SIGN UP Make checks payable to Manchester Monarchs per group Return Form & Payment to NOW! Jeff Giuliano 555 Elm St. HOSTED Manchester Monarchs & Manchester, NH 03101 BY: Jeff Giuliano Schedule Pricing Coaching Staff Jeff Giuliano #1 - Team A (15 Players) $399 per skater Manchester Monarchs Assistant Coach, Jeff Giuliano, played six seasons for the Monarchs from 2002-2008. Giuliano, 7:30 am Arrival $50 discount if a native of Nashua, N.H., played col- 8:00-9:00 On-Ice Instruction legiately for Boston College, where he registered by June 15 served as captain during his senior year, 9:15-10:15 Dryland Training and won an NCAA National Champi- 10:15-11:15 Video/Classroom Price Includes onship in 2002. Giuliano finished his career at BC third on the school’s career 11:15-11:45 Lunch • 10 hours of on-ice teaching from games played list, playing in 166 games 12:20--1:20 Game over four years. Giuliano played in 226 NHL, AHL and ECHL instructors games with the Monarchs, 101 games in • 10 hours of off-ice training, including the NHL for the Los Angeles Kings and 703 professional games in North America and Europe. plyometrics, agilities, weight training Giuliano scored 247 career points on 83 goals and 164 and yoga assists. • Daily video review to talk X’s & O’s of Matt Fornataro the game -University of New Hampshire ‘08 • 1-on-1 time with the coaching staff to -10 years of professional hockey experience discuss strengths & weaknesses -AHL (Norfolk Admirals) #2 - Team B (15 Players) • Opportunity to be seen by Prep -ECHL (Manchester Monarchs) School coaches from New England 7:45 am Arrival 8:00-9:00 Dryland Training Robbie Donahoe 9:00-10:00 On-Ice Instruction -Middlebury College 14’ 10:15-11:15 Video/Classroom -2 years of professional hockey experience 11:15-11:45 Lunch -ECHL (Manchester Monarchs) 12:20--1:20 Game -SPHL (Knoxville Ice Bears) Doug Carr Guest appearances & -Umass Lowell ‘14 autographs from -2 years of professional hockey Brooks Orpik experience 14 years of NHL experience -AHL (Albany Devils) Current Washington Capital Stanley Cup Champion -ECHL (Manchester Monarchs) & Rich Seeley Manchester Monarchs Head Coach.