Bitte füllen Sie das Formular aus. STEP 1____REGISTRATION: HIGH INTENSITY __ Date: 01. - 05.08.2010 __ Length of camp: 5 Days ....................................................................................................................................................................................................................................................................................     High-Intensity  "BASIC COURSE" 540,- €      High-Intensity  "COMPLETE PACKAGE" 680,- €          Overnightpackage 140,- €            4 Nights with breakfast buffet at ***Hotel Grader at Neustadt with Bus transfer to training site + Theory     Lunchpackage 35,- €            5 lunch incl.1nonalcoholic beverage     Dinnerpackage 30,- €            4 dinner incl.1nonalcoholic beverage   » 2 x 2 hours of on ice training in the Weiden hockey arena. » Experienced international goalie coaching staff (all goalies) » Goalie to coach ratio on ice is 3,5:1 » Shooting staff will be adjusted to the higher level standards » Advanced dryland fitness training program Nutrition seminar » Video analysis, Training on preparing yourself emotionally and mentally for game situations » Enrollment is limited to 18 goalies   *) Die Procanhockey.com spricht sich ausserhalb des genannten Kursumfanges frei von der Aufsichtspflicht.   STEP 2 ....................................................................................................................................................................................................................................................................................   Personal Details:   Details of Health Insurance and specifics:       Name:  * Surname:  * Date of birth:  * Size, Weight:  * Street:  * ZIP, Town:  * Phone:  * E-Mail:  * Team:  *   I have health insurance with the following company::  *   Healthinsurance Nr.:  *   My Liability Insurance Company is: *     Specifics (Diseases) »   (Asthma etc.)         STEP 3 ....................................................................................................................................................................................................................................................................................   Payment options:         Only PREPAYMENT ACCEPTED Our Bank Details are: Account: 862 46 94 00 Commerzbank Weiden BLZ 753 400 90 Germany IBAN: DE84753400900862469400 BIC: COBADFFXXX USt-IdNr.: DE114103514   Please understand that we cannot reserve a spot before a downpayment of 50% is made. Confirmation of reservation will follow upon receipt of a bank transfer receipt.       STEP 4 .................................................................................................................................................................................................................................................................................... Your AGE!   IMPORTANT       YES I´M 18 YEARS OLD NO I´M NOT Name of guardian  * Birth of guardian  *           Fill out the Name and birthdate of the guardian if you are under 18!     STEP 5 ....................................................................................................................................................................................................................................................................................   DON´T FORGET TO ACCEPT!!!!!!   TERMS OF USE:         Extrarooms needed   I (or parental guardien) accept the Terms and Conditions     By sending this filled out form I (or parental guardien) herewith accept the Terms and Conditions of the PROCANHOCKEY.com Desciplinary measures may result at any time of the expelling of a participant from the Hockey Camp without refund of the entry fee. Should the Hockey Camp be cancelled due to reasons uncaused by PROCAN (i.e. greater power or technical defection), only the pro-rated amount of the entry fee can be demanded. Damage claims will not be accepted.   Secure your spot today!