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 to Try-out for a Featured Part


Skater’s Name Age Skill Level
Address Phone
Music Selection Coach
I am trying out for
I have read and agree with the featured part guidelines listed in this registration packet.



Parent or Guardian Skater


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.
Registration / Tryout Fee:

Parent or Guardian


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