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LDC Pro Shop
For a cool ice skating experience!
131 West Easy Street Simi Valley, CA 93065 805-520-RINK |
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CALIFORNIA DREAMIN COME SKATE AND GET READY FOR YOUR UP COMING SEASON ONLY $250 When: AUGUST 11TH – 15TH FROM: 9:00AM – 3:00PM
One hour dry land per day with Steve Philips (up stairs in he’s new facility) INSTRUCTOR Luc Beausoleil: 14 years professional experience as a player Own several records in the CHL USA Hockey Level 4 Coach Mike Perkins: 6 Years Tier II Jr. A Coach (NAHL, AWHL, MJHL) USA Hockey Level 4 Coach USA Hockey Development Camp Coach Make check payable to: ICEOPLEX PLEASE PRINT CLEARLY
Player’s Name____________________________________ Position _______________________
Parents Name ____________________________________
Address ____________________City _________________
State _________________Zip_______________________
Home phone ________________Work________________
Cell Phone _______________ Birthdates _______________
E-Mail__________________________________________ Please Read Carefully! WAIVER AND RELEASE OF LIABILITY
Easy Street Ice Arena, as well as any of their employees will not be held liable for any injuries. Participant releases Easy Street Ice Arena of any liability regarding injury or death.
I HAVE READ THE ABOVE WAIVER AND RELEASE AND UNDERSTAND THAT I HAVE GIVEN MY SUSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY. I ALSO AGREE TO ABIDE BY ALL RULES OF THE EASY STREET ICE ARENA YOUTH HOCKEY PROGRAM.
Date: ___________Player’s Signature ______________________
Parent’s Signature______________________________________
Please send application to Easy Street Ice Arena, Attn: Luc Beausoleil 131 West Easy Street, Simi Valley, CA, 93065.
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