BSC 2018 Masters Camp Registration Form

2019 Buffalo Masters Summer Training Camp - August 16 - 18

Skaters - Age 21 and over
Take Your Skating & Training To The Next Level!

Join us for an intensive weekend clinic coached by Eastern Regional Camps Director Tom Miller. Coach Miller brings his technique driven training program to Western New York for our annual camp.

The camp is designed for skaters ages 21 and over. It incorporates, Ice, Dryland and analyses. Additional training will be provided in the art/sciences of sharpening and blade setup, race preparation and injury prevention.

Sponsored by: The Buffalo Speed Skating Club.

Instructed by: Eastern Regional Camps Director Tom Miller, and assisted by guest coaches.

Location: The Northtown Center at Amherst - 1615 Amherst Manor Drive Amherst, NY 14221

Dates: Friday, August 16 - Sunday, August 18.

Total Ice Time: 6 hours (on an Olympic size rink). Total Dryland Training: 5 hours.

Accommodations: Suggestions for area hotels will also be provided.

Registration: The camp will be limited to the first 20 applicants. We expect it to fill quickly, so send in your registration early to insure your participation. The fee is $140 USD. Payment for past participants with pre-registration is due on June 1, 2019. New skaters must pay at the time of registration. Performance Camp T-shirts are $20.00

After you register: An information/confirmation packet will be emailed to you detailing what you should bring along with additional information about the camp and Western New York.

For questions please phone Alan Jay at 716-553-7661 or email info@buffalospeedskating.org/.

Athlete Information
Athlete's Name *

First Name Last Name
Birth Date *

Month Day Year
Gender *

Male Female

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Club Name *
USS/Speed Skate Canada number: *
500 M Time *
Performance T-Shirt size (cost $20)
Add one or two additional skaters in the same family

Yes

Additional Athlete's Information
Athlete's Name *

First Name Last Name
Birth Date *

Month Day Year
Gender *

Male Female
Club Name *
500 M Time *
Performance T-Shirt size (cost $20)
Add a second skater in the same family

Yes

Second Additional Athlete's Information
Athlete's Name *

First Name Last Name
Birth Date *

Month Day Year
Gender *

Male Female
Club Name *
500 M Time *
Performance T-Shirt size (cost $20)

Informed Consent and Acknowledgement

I acknowledge that, as in all sports and exercise, there is an element of risk and that I am physically and medically capable of participating in skating activities. In consideration of the acceptance of my application and permission to participate in the 2019 Buffalo Masters Summer Training Camp, and in any of the Buffalo Speed Skating Club events, activities, or training sessions.

I myself, my heirs, executors, administrators, successors, and assigns RELEASE, WAIVE and FOR-EVER DISCHARGE the Buffalo Speed Skating Club, It’s organizers and coaches, US Speedskating, The Northtown Center, Town of Amherst, Tom Miller and all other associations, sanctioning bodies and sponsoring companies, and all their respective agents, officials, servants, contractors, representatives, and assigns of and from all claims, de-mands, damage cots, expense, actions, and causes of action, OF ANY KIND WHATSOEVER, whether in law or equity, in respect of death, injury, loss or damage to my person or property HOW-SOEVER CAUSED, arising or to arise by reason of my participation in any event organized by the Club, whether as a spectator, participant, competitor, or otherwise, whether prior to, during or subsequent to the event and notwithstanding the same may have been contributed to or by negligence of any of the aforesaid.

I further undertake to skate safely and wear protective equipment at all times. All skaters must wear an ANSI/SNELL certified helmet, cut resistant neck guard, knee pads, and full fingered gloves.
Confirmation

BY AGREEING ABOVE AND SUBMITTING THIS FORM, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT IS EQUIVALENT TO AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
*

I Agree
Contact email: *

Confirmation Email
Select an option: *

New skater registration (single or first skater) $ 140.00

New skater registration (additional family member) $ 140.00

Quantity

Past Skater registration (single or first skater) (Payment will be deferred until June 1, 2019) Free

Past skater registration (additional family member) (Payment will be deferred until June 1, 2019) Free

Quantity

Performance T-Shirt (New Skater) $ 20.00

Quantity

Performance T-Shirt (Past Skater) Free

Quantity

Total $ 0.00
Should be Empty:

2019 Buffalo Masters Summer Training Camp - August 16 - 18