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 Age Skill Level
Phone
E-Mail
Music Selection Coach
Solo / Group:
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:
Signature

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