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Registration Forms - Fall & Winter
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BRACEBRIDGE SKATING CLUB
FALL/WINTER SKATING REGISTRATION 2005/06
NAME: ______________________________________________________ GENDER:_____________________________
FIRST MIDDLE INITIAL LAST
MAILING ADDRESS: __________________________________________TELEPHONE:_________________________
______________________________________________________________ POSTAL CODE:_______________________
DATE OF BIRTH: _____________________________________________
HOME CLUB: ________________________________________________ SKATE CANADA NUMBER: ___________________
PREVIOUS CLUB (IF ANY): ____________________________________ NEW CLUB SKATER (Y/N):____________
PARENT OR GUARDIAN NAME: _____________________________________________________________________
HIGHEST SKATING TESTS PASSED:
STAGE (Canskate):______________________________DANCE:_____________________________________________
SKILL: _______________________FREESKATE:_______________________COMPETITIVE:___________________
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| Skating Program |
Days Available |
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| KIDSKATE |
Wed. |
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| CANSKATE |
Wed. |
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| PRE-POWER |
Wed. |
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| POWERSKATING |
Tues./Wed. (FALL)
Tues.(WINTER) |
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| PRE-JUNIOR |
Tues. |
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.Wed. |
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| JUNIOR |
Tues. AM |
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Tues. PM |
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Wed. |
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Fri. AM |
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Fri. PM |
| INTERMEDIATE |
Tues. AM |
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Tues. PM |
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Wed. |
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Fri. AM |
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Fri. PM |
| SENIOR |
Tues. AM |
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Tues. PM |
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Wed. |
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Fri. AM |
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Fri. PM |
| FREESKATE 1 |
Tues. AM |
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Tues. PM |
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Wed. |
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Fri. AM |
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Fri. PM |
| MORNINGS ONLY |
Tues. AM |
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Fri. AM |
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| 1 HOUR SKATING |
Tues. |
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Wed. |
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Fri. |
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| ON-ICE ENDURANCE |
Wed. |
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Number of Bingos Required:_________________ **’0’ IF registered for Fall Session only. See Booklet for Winter Session.
FEES PAID IN FULL ON _______________________________
HALF OF THE FEES PAID UPON REGISTRATION IN THE AMOUNT OF _____________
REMAINDER BY POST DATED CHEQUES PRIOR TO 01/15/06 _______________________
RELEASE INFORMATION
I hereby release and forever discharge Bracebridge Skating Club, its Coaches, Administrators and Employees from all claims, demands, damages, actions or causes of action arising or to arise by reason of participation in the program, and from all claims and demands whatsoever in law or in equity which I, my heirs, executors, administrators or assigned can, shall or may have by reason aforesaid against the Bracebridge Skating Club.
Date:____________________________ Parent/Guardian’s Signature:________________________________________
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OFFICE USE ONLY: |
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FEES:
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CASH:
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VISA:
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FUNDRAISING TRUST CHEQUE:
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CHEQUE:
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“Courtesy, Consideration, Cooperation and Common Sense”
Bracebridge Figure Skating Club
169 James Street, Bracebridge, Ontario P1L 2B8
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