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BRACEBRIDGE SKATING CLUB
SUMMER SKATING REGISTRATION 2006 (August 7 - August 31, 2007)
NAME: ______________________________________________________ GENDER:_____________________________
FIRST MIDDLE INITIAL LAST
MAILING ADDRESS: __________________________________________TELEPHONE:_________________________
______________________________________________________________ POSTAL CODE:_______________________
DATE OF BIRTH: _____________________________________________ HEALTH CARD NO: __________________
HOME CLUB: ________________________________________________ CFSA 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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| 2007 Pricing |
By May 18/07 |
After May 18/07 |
| Pre-powerskating |
57.00 |
62.00 |
| Powerskating |
103.00
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108.00
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| Dance/Skills |
93.00 |
98.00 |
| Freeskate 1 Includes Stroking Session |
108.00 |
119.00 |
| Freeskate 2 Includes Stroking Session |
134.00 |
144.00 |
| Hopping/Hour |
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30.00 |
| TOTAL |
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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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