Registration Success

Please return printed and signed form to Skate Company Skating Club along with our payment by December 1, 2017.

Holiday on Ice 2017
Registration

 

Skater’s Name [ninja_forms_field id=256] Age [ninja_forms_field id=257] Skill Level
[ninja_forms_field id=269]
Phone [ninja_forms_field id=260]
E-Mail [ninja_forms_field id=261]
Music Selection [ninja_forms_field id=262] Coach [ninja_forms_field id=263]
Solo / Group: [ninja_forms_field id=264]
Waiver In consideration of your accepting this entry form, I hereby for my child/ward, my heirs, executors and administrators, waiver and release any and all rights and claims for damages I or my child may have against the Skate Company Skating Club, or its representatives, for any or all injuries suffered while participating in this activity. I further represent that I am in good physical condition and have no disability or ailment that will prevent me from engaging in the activity for which I am registered. In addition, I hereby authorize Skate Company Skating Club to use all photos, both video and audio portions of videotapes on which my dependent or I appear.
I understand I am signing this form electronically, and I agree your by clicking the “Sign and Submit” button, and electronic signature is the legal equivalent of my manual signature on this document.
Registration / Tryout Fee: [ninja_forms_field id=267]
Signature

s\[ninja_forms_field id=255]

 

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