FUTURE STARS ARENA
1107 Finch Avenue West
Toronto, Ontario
M3J 2P7 CANADA
Ph: (416) 782-2822
Fax: (416) 782-9698
manager@futurestarsarena.com
www.futurestarsarena.com
PLEASE COMPLETE
*
Submitted by
Parent of Student
Cindy Hutter - Future Stars Arena Staff
CINDY VETENSKY - Future Stars Arena Staff
Michelle Vahala - Future Stars Arena Staff
*
Date Submitted:
*
Client Status:
Existing Client
New Client
*
Evaluation Type:
I would like my child evaluated to see if they can attend the next level up program
We are new to Future Stars Arena and unsure what program my child qualifies for
*
Student Name
Current Team (if applicable)
Current Level
Beginner - Never Played Hockey
Beginner - Never Skated Before
AAA
AA
A
Select
Houseleague
BBB
BB
B
C
Division
Unsure
Tyke
Minor Novice
Novice
Minor Atom
Atom
Minor PeeWee
PeeWee
Minor Bantam
Bantam
Minor Midget
Midget
Juvenile
Intermediate
Birth Year
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
Gender
Male
Female
Parent Name:
Phone
Email Address
Additional Comments:
0/1000 words
TO BE COMPLETED BY INSTRUCTOR ONLY:
Instructors please return completed form with your daily attendance. Thank you!
Evaluation Date
Evaluated by:
Ryan Milancovic
Vitaly Lanochkin
Graham Williamson
Alex Toulouse
Dan Cavalcante
Nevin Cornacchia
Claire McKimm
David Belitski
Anthony Cornacchia
Other (indicate in notes Area)
Program Attended:
LEARN TO SKATE
LEARN TO PLAY
HOCKEY FUNDAMENTALS
ADV. POWERSKATING & PUCK SKILLS
JR. - GOALS, GOALS, GOALS
SR. - GOALS, GOALS, GOALS
JR. ELITE - GOALS, GOALS, GOALS
SR. ELITE - GOALS, GOALS, GOALS
SR. ELITE - BODYCHECKING & BATTLE DRILLS
JR. ELITE - POWERSKATING, SPEED, AGILITY & BUNJI
SR. ELITE - POWERSKATING, SPEED, AGILITY & BUNJI
JR. - DYNAMIC PUCK SKILLS
SR. - DYNAMIC PUCK SKILLS
JR. ELITE - DYNAMIC PUCK SKILLS
SR. ELITE - DYNAMIC PUCK SKILLS
JR. - DEFENSE SKILLS & CONCEPTS
SR. - DEFENSE SKILLS & CONCEPTS
JR. ELITE - DEFENSE SKILLS & CONCEPTS
SR. ELITE - DEFENSE SKILLS & CONCEPTS
Can the child move to the next level up program?
YES
NO
If the student did not pass to the next level, how
classes (aprroximately) do you feel will it take
to get them to pass?
Aproximately 1 to 2
Aproximately 3 to 5
Aproximately 6 to 8
Aproximately 8 to 10
Select the appropriate comment(s) if the Student did no
pass to the next class level:
Forward skating skills does not meet the class requirements
Forward puckhandling skills does not meet the class requirements
Forward Crossover skills does not meet the class requirement
Shooting Skills does not meet the class requirement
Backwards skating skills does not meet class requirements
Backwards puckhandling skills does not meet class requirements
Backwards Crossover skills does not meet the class requirement
Focus & discipline does not meet the class requirements
Physical Stature (size) does not meet class requirements
Age does not meet class requirements
Additional Instructor Comments:
0/1000 words
PLEASE SELECT THE PROGRAM(S) THAT THE STUDENT QUALIFIES FOR:
LEVEL 1: BEGINNER
PRIVATE LESSONSPRIVATE & SEMI-PRIVATE LESSONS
LEARN TO SKATE
LEARN TO PLAY
PARENT & CHILD - LEARN TO SKATE
LEVEL 2: INTERMEDIATE PROGRAMS (HOUSELEAGUE)
PRIVATE & SEMI-PRIVATE LESSONS
SKATING TREADMILL CLASS
SNIPER SHOOTING ACADEMY CLASS
HOCKEY FUNDAMENTALS
LEVEL 3: ADVANCED PROGRAMS (A, SELECT & HOUSELEAGUE)
JR. ADV. POWERSKATING & PUCKSKILLS
SR. ADV. POWERSKATING & PUCKSKILLS
SKATING TREADMILL
SNIPER SHOOTING CLASS
JR. - GOALS, GOALS, GOALS
LEVEL 4: ELITE PROGRAMS (AAA, AA, A)
PRIVATE & SEMI-PRIVATE LESSONS
SKATING TREADMILL
SNIPER SHOOTING CLASS
JR. ELITE - GOALS, GOALS, GOALS
SR. ELITE - GOALS, GOALS, GOALS
SR. ELITE - BODYCHECKING & BATTLE DRILLS
JR. ELITE - POWERSKATING, SPEED, AGILITY & BUNJI
SR. ELITE - POWERSKATING, SPEED, AGILITY & BUNJI
JR. ELITE - DYNAMIC PUCK SKILLS
SR. ELITE - DYNAMIC PUCK SKILLS
JR. ELITE - DEFENSE SKILLS & CONCEPTS
SR. ELITE - DEFENSE SKILLS & CONCEPTS
For Office Use Only:
Updated in Formsite
Updated in EZ Facility
Client Emailed Results of Evaluation
*
Indicates Response Required