THOROLD FIGURE SKATING CLUB

2017/2018 PRE-JUNIOR REGISTRATION FORM

MEMBERSHIP TYPE :
NEW OR RENEW - SKATE CAN # : ______HOME CLUB : ______
COACH : ______
SKATER INFORMATION
*SKATER LAST NAME : ______
*SKATER 1STNAME : ______
*STREET # & NAME:______
*CITY:______POSTAL :_______/ *DATE OF BIRTH :
*DAY:_____ MONTH:______YEAR:______
*CIRCLE GENDER : F M
*EMAIL : ______
*PHONE #:____________
PRE-JUNIOR (Canskate badge 4 & up or recommended by a coach)
2 DAY SESSION $590.00 CIRCLE 2 DAYS : SUNDAY WEDNESDAY FRIDAY
* INCLUDES A ½ HOUR GROUP LESSON
FULL 3 DAY $660.00
* INCLUDES A ½ HOUR GROUP LESSON
PROGRAM COST $______
ADDITION PROGRAM COST $______

FUND-RAISING BOOK - NOTE: 1 BOOKLET PER FAMILY MANDATORY $ 40.00
_
TOTAL DUE TO TFSC - $______
Cash / Credit Card Accepted/Cheque Payable to T.F.S.C.
Cash Received $______Cheque#______$______/#______$______/#______$______
Credit Card Payment # ______Exp:______/______CVC Code:______
One Time Billing : ______Three Equal Payments : Sept______Oct:______Nov:______
Email Transfer :______* Board Member Use * Comformation # :______
Email : Make Password : skating
PAYMENT BY CREDIT CARD HAS 3% SURCHARGE
Volunteer Cheque $200.00 -Cheque #______

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IMPORTANT INFORMATION
MEMBERSHIP PAYMENT
1ST OPTION :
Payment in full at the time of registration
2ND OPTION :
Pay 1/3 the registration cost upon registration. The remaining balance may be split into 2 equal payments by providing 2 Post dated cheques payable to ‘TFSC’. Last cheque cannot be dated later than Nov. 20th 2017.
***NOTE: N.S.F. charge = $35.00 each*** /
REFUND POLICY
Before Sept 10th/2017 – Full Amount
Before Oct 1st,17 – 50%
Refunds for medical reasons must be received in writing before October 31st, 2017
NOTE: All Refunds will be reviewed and determined by the board of directors. All refunds are subject to a $40 Admin Fee.
NOTE : ALL PROGRAMS PENDING ENROLMENT
 DATE & TIMES ARE SUBJECT TO CHANGE
Ice Times may change as a result of 2018 Carnival practice schedule.
TFSC is not responsible for any Ice Cancellations made by The City of Thorold due to ice conditions, tournaments etc.
*Members must abide by all club and SKATE CANADA rules. Failure to do so will result in cancellation of membership with no refund.
Members skate at their own risk
The Thorold Figure Skating Club, its Directors & Coaches, the City of Thorold and SKATE CANADA are not liable for any injuries / VOLUNTEERS
We welcome volunteers from all groups.
Our club relies on them.
A $200Volunteer Cheque is required from all Pre-Jr., Junior, Intermediate & Senior registrants.
Cheque to be post dated to March 1, 2018 and it
will be returned upon completion
of 15 volunteer hours.
See a board member to sign up.
Thank you in advance.
IMPORTANT
I HEREBY AGREE THAT ALL THE INFORMATION FILLED OUT ON THIS APPLICATION IS ACCURATE. I ALSO AGREE TO ALL TERMS AND CONDITIONS AS SET BY TFSC ON THE MEMBERSHIP FORM, PAMPHLET & WEBSITE.
X Parent/Guardian signature (unless 18) :______Date : ______
*******************************************************************************************************************************
Freedom of Information
If your child is under the age of 18 years, please sign below if you consent to the skaters name, photograph, video image and/or accomplishments being released in club publications (i.e.: newsletters, websites) and/or public media (websites/radio/television/newspapers).
X Parent/Guardian signature: ______Date : ______
CLUB CONTACT INFORMATION
Please visit our website :
CLUB MAILING ADDRESS:
TFSC c/o Registration
P.O. Box 2
Thorold, ON, L2V 3Y7
President – Amelia Franceschini – 905-227-4181
TFSC Treasurer – Kim Ricker – 905-384-1871

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Board Member : ______Date : ______