Canadian Professional Goalie Schools

Application Form
www.CanadianProfessionalGoalieSchools.com
*ALL INCLUSIVE
May 15-17 Marlborough, MA $995
New England Sports Center, 121 Donald Lynch Blvd.
May 22-24 Minneapolis, MN
$995
Augsburg College, 2211 Riverside Avenue South
*Includes dorms, meals and transportation to and from the rink.
For other goalie
camp information
please go to our
website.
FIRST NAME: _____________________________________________ LAST NAME: _______________________________________________
Prospects
Goalie Camps 2015
$995
ADDRESS: ___________________________________________________________ CITY: ______________________________________
www.CanadianProfessionalGoalieSchools.com
Neilson Reise
o MALE o FEMALE
Our mission is to create the most elite and intense goaltending camp in the
world for goalies who want to take that next step in their career. This includes the
highest level of instruction by professionals on and off the ice. Goaltenders have
always been considered a “special breed” of individuals. That’s why they should
learn from other goaltenders who understand their unique situation and position.
We will do everything possible to make this a memorable and affordable
experience for all who attend.
August 3-7 Bemidji, MN
STATE/PROV: ____________________ POSTAL CODE/ ZIP: ___________________ PHONE: ___________________________________________
Mission Statement
CPGS Best of the Best Elite Goalie Camps 2015
EMERGENCY/CELL/WORK:_____________________________ EMAIL:_____________________________________________________________
• NCAA Division I Coach
• USHL Head Coach
• BCHL Head Coach
• UND Goaltender
• CPGS Elite Camp Attire
• Report Card for All Activities
• Free Professional Goaltending Equipment Trials
• A CPGS Jersey
• A Road Map of Goals and How to Achieve Them
MEDICAL CONDITIONS/ALLERGIES: _______________________________________________________________________________________
Todd Jones
Each Goaltender will Receive FREE:
MEDICAL#:__________________________________AGE:_____ BIRTHDATE(YYY/MM/DD):________________HEIGHT:_______ • Current Assist. Coach with Odessa Jackalopes (NAHL)
• D1 Goaltender for Niagara University
• Atlantic Hockey All Academic Team 2011
• 1st Ever Player Signed by the Fargo Force (USHL)
• Back to Back Years in the USHL as a Top Ten
Goalie Statistically
• USA HOCKEY Warren Strelow Goalie Camp Invitee
• Represented the United States in the 2009 Ivan Hilinka Tournament in Slovakia
• One on One Opportunity to display your talent
to junior, college, and pro scouts
• Meals and Lodging
• Transportation to and from lodging
• Fun Off Ice Activities such as fishing and golfing
• 15 Hours Intense On Ice Instruction
• 15 Hours Intense Off Ice Instruction
• 10 Hours of Classroom Analysis of each goaltender’s
performance using Dartfish Video Analysis Equipment
SCHOOLLOCATION:___________________________LASTTEAMPLAYEDFOR:______________________________LEVEL:(E.G.:AAA,A2/JUNIOR)____________
Cody Campbell
The CPGS Elite Camp Package:
PARENTS(S) NAME(S): ______________________________________________________________________________________________
• Current Goalie Coach for Topeka Roadrunners
(NAHL), Fargo Force (USHL), Des Moines Buccaneers (USHL) and the Casper Coyotes (WSHL)
• Former Omaha Lancers USHL Goalie Coach
• Former NCAA Division I Goalie Coach
• USA Hockey CEP Instructor
• Former Nine Year Professional Goaltender AHL, IHL, ECHL, Europe
• USA Hockey District Evaluator
• USA Hockey U14 Goalie Coach
• All Conference NCAA Division I Goaltender • USHL MVP Goaltender
was created to provide intense preseason training and conditioning just
before training camp for Junior, College and Pro players.
DEPOSIT: $ ____________ BALANCE: $ ____________________ (TO BE PAID 30 DAYS PRIOR TO CAMP) DATE OF APPLICATION: ___________________________
Steve Briere
The CPGS Package . . .
In signing this application, the parent or guardian hereby agrees that should the applicant need medical assistance, Canadian Professional Goalie Schools and anyone on their behalf will be able to acquire the proper medical
assistance. I, the undersigned, certify that the applicant is in good physical health with no abnormal handicaps. I also agree that CPGS and their employees are not responsible for sickness, accidents or loss of property.
Program Directors
SIGNATURE_______________________________________________________________________________________________________________________
Canadian Professional Goalie Schools