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Instructors: Steve Sertich, BSU Head Women’s Hockey Coach Shane Veenker, BSU Asst. Women’s Hockey Coach Amber Fryklund, BSU Asst. Women’s Hockey Coach Casie Hanson, BSU GA Women’s Hockey Coach Bemidji State University Women’s Hockey Players

WHERE: Sanford Center (Bemidji, MN) WHEN: October 24 (Monday), 25 (Tuesday), and 26 (Wednesday) from 6:30 to 8 PM WHO: Open to any Girl Hockey Player in Grades 8-12 COST: $50.00: if payment and form are both sent in before Friday October 21 $60.00: if payment received the day of the camp Make checks payable to BSU Women’s Hockey The cost includes the camp as well as tickets to the BSU vs. University of Minnesota Women’s Hockey series Oct. 28th and Oct. 29th and a behind the scenes tour of the Sanford Center

DEADLINE: Open to the first 30 Skaters and ½ price to the first four goalies FOCUS: Skill Development, Competition, Conditioning and Small-Area Games

Please Fill Out the Following Form Completely and Return to BSU Women’s Hockey Before FRIDAY OCTOBER 21 For additional information please contact the BSU Women’s Hockey Office at Phone Number: 218-755-2724 or E-mail:

Bemidji State University Women’s Ice Hockey Pre-Season High School Hockey Camp Form: Player Name: ________________________________________ Year of High School Graduation: _______________________ Home Address (Street, City, State, Zip Code): __________________________________ __________________________________ __________________________________ Home Phone Number: _________________________________ Work Phone Number: _________________________________ Parent’s E-Mail Address: ______________________________ Player Signature:____________________________________________ Parent/Legal Guardian Signature: _____________________________ *By signing this form you are NOT holding Bemidji State University or any of the coaches and/or camp staff responsible for any illness or injury that may occur during the hockey camp. Participants should have their own health insurance. The university does not provide the participants with health or accident insurance.

Send Form and Check by 10/21/2011 to: Attention of: Casie Hanson Bemidji State University Women’s Hockey Office Bemidji State University 1500 Birchmont Dr. NE #29 Bemidji, MN 56601 For additional information please contact Women’s Ice Hockey Office: 218-755-2724 or E-mail: