2013 - 14 Registration - Recreational Program

Document Sample
2013 - 14 Registration - Recreational Program Powered By Docstoc
					   Preston Figure Skating Club         Recreational Registration Form
                        Winter School 2013 - 2014
Skater Name:                                                         Parents Name:
Address:                                                             City                            Postal Code
Home Phone #                                                         Skaters Clothing Size           Male ___ Female __
Email address:                                                       Birthdate:    Month _____ Day _____ Year _____
Badge Passed:                                                        Skate Canada #
               Starts the week of October 9th, 2013
Please mark an "x" for the requested session
PreSchool (Buddies on Blades) - Karl Homuth Arena                                    PreSchool (Buddies on Blades) - Preston Aud
Wednesday - 5:20 - 5:45pm                                                            Saturday - 1:10 - 1:40pm
Wednesday - 5:45 - 6:10pm                                                            Saturday - 1:40 -2:10pm
Thursday - 4:30 - 4:55pm
Thursday - 4:55 - 5:20pm
CanSkate-Learn to Skate-Karl Homuth                                                  CanSkate-Learn to Skate-Preston Arena
Wednesday - 6:10 - 7:00pm                                                            Saturday - 1:10 - 2:10pm
Thursday - 4:30 - 5:20pm

CanFigure Skate - Advanced Recreational *                                            CanFigure Skate - Advanced Recreational *
Karl Homuth Arena                                                                    Preston Arena
Wednesday - 5:30 - 6:30pm                                                            Saturday 1:10 - 2:10pm
Thursday - 4:30 - 5:20pm
* Mandatory:           Saturday 2:10pm - 2:55pm, Preston Auditorium

Learn to Skate Hockey - Karl Homuth Arena
Wednesday - 6:10 - 7:00pm

Gala 2014:                                             Dates: March 22, 2014
Part E: Fee Structure:
Insurance Policy: All skaters participating in the above programs are required to purchase insurance. The annual
   fee (Sept to Aug) is $ 33.00. If you register your child for the fall program, you will not be required to purchase the
   insurance during the winter/spring/sumer 2013/14 season. (if it is a sanction skating club. Ie: Preston FSC)
Description of Program                    Indicate Selection of Days                                Program
                                          Program 1 Day      2 Days                                   Total
Pre-School (Buddies)                                   $ 199.99 $ 276.99                            $
CanSkate (learn to skate)                              $ 199.99 $ 276.99                            $
CanFigureSkate                                                  $ 316.00                            $
Learn to Skate - Hockey                                $ 242.00                                     $
Annual Insurance Fee                                                               $ 33.00                $33.00
                                                                                 Sub-Total  $
                                                                                Admin Fee   $              15.00
                                                                                Grand Total $
Payment Plan: Payment Option # 1 - Full amount is due the date you register
              Payment Option # 2 - This is divided into 4 equal payments Payment dates are:
                           1st pmt: Upon Registering          2nd pmt: Nov 1st, 2013
                           3rd pmt: Dec 1st, 2013             4th pmt: Jan 15, 2014
Initial payment is required at the time of registration. Post-dated cheques must be submitted with application form to receive the
4 equal payment plan. Credit card will be billed 4 equal payments.
                                                                                                                    over ->
Part F:                  Volunteer Assistance Required
                         The Preston FSC is needing your help! We encourage all families to become involved with the club. We
                         ask each family to participate a minimum of 4 hours! If your schedule does not allow for you to volunteer
                         the 4 hours, we have two other options.
                         We offer a number of fundraising activities. For every $ 50.00 dollars raised, you will receive credit of
                         1 hour towards your 4 hour volunteer request.
                         Or you can authorize or provide a cheque (dated March 27, 2014) for $ 50.00 per person or $ 75.00 per family .

                         Please initial below which option you will be using for the 2013/14 season;
                         Option A:          Volunteer a minimum of 4 hours                        Initials:                    _____________
                         Option B:          Fundraise a minimum of $ 200.00                       Initials:                    _____________
                         Option C:          Provide cheque or credit card authorization           Initials:                    _____________

Listed below are some of the many volunteer opportunities you can participate in. Please remember, we are only asking for
4 hours! Please check any committees you would like more information about.
Volunteer Services throughout the season:
Family Christmas Party             Skate a thon                                                               Registration
Santa Claus Parade                 Assist with Organizing Fundraisers                                         Team Parties
Gala Volunteer Services:
Marketing                          Communications                                                             Set Up/Tear Down
Publicity                          Programs                                                                   Backstage during show
Ushering                           Costumes                                                                   Creating Props
Ticket Sales                       Spotlight Operator during show                                             Security
Dressing Rooms                     Set Painting
Parent/Guardian/Skater Waiver: I hereby release the Preston Figure Skating Club of Cambridge Inc., the Arena management and Employees, Professional
and assistant Coaches from any responsibility, for any accident or injury to any individual, or the loss or damage to any personal property however caused on
or off the premises. I agree my child/ward will abide by the rules and regulations of the Preston Figure Skating Club of Cambridge Inc. as set by the directors.
Any disregard for these rules will result in the removal of the Skater from our skating program without refund of any fees paid. Publication Waiver: As a
Teaching Centre for youth figure skating, There are occasions to video tape and/or photograph children involved in the activities on & of the ice. These tapes
and photographs are used for various reasons. We use them as educational tools, advertising, publicity information &/or promoting specific activities. These
items are the property of the Preston FSC &/or Champions Training Centre. As well, children may be observed or invited to participate in an activity such as the
Preston Annual Ice Show where photographs, slide presentations and/or video can be purchased by the public. On occasion coaching staff, Preston FSC Board
Directors and/or parents take photographs and/or videotapes of children involved in various activities. These are often shared in the Centre and may become
part of a collection of memories.

Would you like information on private one on one lessons?         yes or no
Private lessons are $8.50 for 10min and held during your childs skating session.

Parent / Guardian / Skater Signature:                                                                         Date:

Part F: Payment Procedure:
Option A: Payment by Credit Card:                           VISA or MasterCard Option:
               Cardholder Name:
               Credit Card Number:                                             3 or 4 digit on back of card
               (Please put a " ' " infront of the credit card number so that it is entered properly)
               Expiry Date:                                       Phone Number:
               Please Check Payment Type:              1 Payment:              4 Equal Payments:
               One Payment: Volunteer Authorization for $50.00 dated March 27, 2014
Option B: Payment by Cheque:
               Please Check Payment Type:              1 Payment:              4 Equal Payments:
               One Post-dated Cheque: Volunteer Fee of $50.00 dated March 27, 2014

Shared By: