May 2024 Goalie Clinic Registration
Presented by Erika Silva Adams and Fueled Fitness RI, LLC

I am excited and look forward to getting back on the ice with all of my goalies. During the May goalie Clinic I am excited to announce that we will have a guest goalie coach Katie Burt joining us for the last 3 sessions.  Katie Burt has had an amazing career including playing at Boston College, Professional and on the US National Team.   

Goalie Clinic:

We will separate the participants into two groups; a younger group and an older group. 

Group 1 : Mites, Squirts, and Peewees 
Group 2 : Bantam and High School 

I will confirm with everyone which time slot they are in once registration is complete. All sessions will be on the first four Wednesdays in May. Each group will max out a 12 goalies per group with 3 goalies per group. 

ON ICE:
Group I: 6-7PM
Group II: 7-8PM

OFF ICE: Group 1: 7pm-7:30pm
OFF ICE Group 2: 6pm -6:30pm
(Sneakers are required for off ice training)

May 1
May 8
May 15
May 22

Please be fully dressed and ready to skate, 10 minutes before your time slot.

Where:


Emphasis is on stance, agility, movement, proper technique for covering angles, net positioning, tracking pucks and scanning for situational awareness, proper blocker-stick-glove techniques, stick saves, stick handling and confidence with the puck, smothers, redirecting rebounds, post integrations, and skating.  
There are usually one or two points of emphasis to work on for each goalie session, working through the list as the goalies become more proficient. 

Cost:

- On ice Goalie Clinic $340.00 for 4 sessions ($85 per lesson) 
-  Off Ice Training $80.00 for 4 sessions is  ($20 Per session)

Please pay using VENMO:

@ErikaA93 (https://www.venmo.com/u/ErikaA93)
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Fueled Fitness Goalie Clinic 2023
 Name (First and Last):
Parent / Guardian Name (First and Last):
Parent / Guardian Email:
Parent / Guardian Phone Number:
Players Date of Birth:
MM
/
DD
/
YYYY
Player's Level
Clear selection
How many years as your child played goalie ?
Goalies :Team, Level and League. 
Ex: Warwick Blues Peewee B SCHL
Home Address:
Please enter the player's Current USA Hockey #: *
PLAYER INFORMATION WAIVER

In consideration for permitting Participant to participate as a volunteer in the Event as directed by the relevant staff, the undersigned, for themselves, and for their respective heirs, personal representatives and assigns, agree as follows:

Assumption of Risk: The undersigned hereby acknowledge and agree that they understand the nature of the Event; that Participant is qualified, in good health, and in proper physical condition to participate therein; that there are certain inherent risks and dangers associated with the Event, including death; and that, except as expressly set forth herein, they, knowingly and voluntarily, accept, and assume responsibility for, each of these risks and dangers, and all other risks and dangers that could arise out of, or occur during, Participant’s participation in the Event.Release and Waiver: The undersigned hereby RELEASE, WAIVE, DISCHARGE AND COVENANT NOT TO SUE Fueled Fitness RI LLC and its member institutions, or any subdivision thereof, and each of them, their officers and employees, Erika Silva Adams individual (collectively, the “Releasees”), from and for any liability resulting from any personal injury, accident or illness (including death), and/or property loss, however caused, arising from, or in any way related to, Participant’s participation in the Event, except for those caused by the willful misconduct, gross negligence or intentional torts of the above parties, as applicable. 

Indemnification and Hold Harmless: The undersigned also hereby agree to INDEMNIFY, DEFEND AND HOLD the Releasees HARMLESS from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities including, but not limited to, attorney’s fees, arising from, or in any way related to, Participant’s participation in the Event, except for those arising out of the willful misconduct, gross negligence or intentional torts of the above parties, as applicable.

Permission to Use Images/Name: The undersigned further agree to allow, without compensation, Participant’s images and/or name to appear, and to otherwise be used, in material, regardless of media form, promoting Fueled Fitness RI, LLC and/or events and activities, including those of its representatives and licensees. 

Off-Ice Training Sessions: You agree that by participating in these physical exercise sessions or personal training activities, you do so ENTIRELY AT YOUR OWN RISK. This includes, without limitation, (a) your use of all amenities and equipment in the facility and any off site location and your participation in any training program or instruction. (b) The sudden and unforeseen malfunctioning of any equipment, and our instruction, trainings, supervision, or dietary recommendations. 

Severability: The undersigned expressly agree that the foregoing assumption of risk, release and waiver of liability and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the State of Rhode Island and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

Acknowledgment of Understanding: The undersigned have read this assumption of risk, release and waiver of liability and indemnity agreement, and have had the opportunity to ask questions about the same. The undersigned fully understand this assumption of risk, release and waiver of liability and indemnity agreement, that the undersigned are giving up substantial rights in connection therewith, and that its terms are contractual, and not a mere recital. The undersigned acknowledge that they are signing this agreement freely and voluntarily.

Please write your name and date as your signature.
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