SPRING REGISTRATION FOR CANSKATE (ages 5+ ) 2016

To register, mail to:Canskate Coordinator

300 John St., P.O. Box 87671

THORNHILL, Ontario, L3T 7R4

Or fax to:905-881-5295(if faxing, credit card MUST be written on form)

Or scan & email to: (if emailing, credit card MUST be written on form)

PLEASE FILL OUT FORM COMPLETELY and PLEASE READ ALL RULES AND REGULATIONS

NAME:SKATE CANADA#:EMAIL:

ADDRESS: TELEPHONE:

AddressCity, ProvincePostal Code

PARENTS:

PARENT 1 NAMEPARENT 2 NAMEALTERNATE PHONE NUMBER IN CASE OF EMERGENCY

BIRTHDATE:WORKING ON STAGE (IF RETURNING):

SKATING EXPERIENCE: HEALTH CARD #:

Please CHECK your selections

THORNHILL ARENA

TUESDAY 6:00 – 6:50PM April 12 2016-Jun 14, 2016

FRIDAY 6:00 – 6:50PM April 8 2016 – Jun 17, 2016(Cancelled April 15)

SATURDAY 2:00 – 2:50PM April 9 2016 – Jun 18, 2016 (Cancelled April 16)

SUNDAY 12:00 – 12:50PM April 10 2016 – Jun 19, 2016(Cancelled April 17)

FEES

1day/week 2ndday/week

Spring Session (April 08 -June 19) 10weeks $253.00 $210.00

ALL NEW SKATERS MUST ATTACH A COPY OF BIRTH CERTIFICATE TO REGISTRATION FORM. APPLICATION MUST BE RECEIVED TWO BUSINESS DAYS BEFORE SKATER STARTS FOR INSURANCE

PURPOSES. New member registrations will be processed on a first-come, first-served basis. A fee of $30 will be charged on NSF cheques. An administration fee of $30 will be charged on credits. NO CREDITS AFTER START OF THE SEASON. NO MAKE-UP CLASSES. SESSION TRANSFERS AT A COST OF $30/child. THE CLUB RESERVES THE RIGHT TO CANCEL SESSIONS DUE TO LOW REGISTRATION.

SESSION COSTS$______

SKATE CANADA MEMBERSHIP FEE (MANDATORY,FOR NEW MEMBERS ONLY)$ 33.00

TOTAL $______

Payment options:

Cash or Cheque: Payment in full must accompany applications. Make cheques payable to THORNHILL FIGURE SKATING CLUB

Interac: Payment in full must be made in person during skating hours.

Visa or Mastercard: Full credit card number must be written in the space provided below

______/______

Cardholder Name Credit Card NumberExpiry (MM/YY)

The applicant agrees that the Thornhill Figure Skating Club and/or its proprietors will not be held responsible for any accidents or losses, however caused and agrees to release the proprietors from all claims or damages which may arise as a result of or by means of such accident or loss. Please be advised that C.S.A. APPROVED (HOCKEY) HELMETS WITH FACE GUARDS ARE MANDATORYfor all Canskate students. Parents are expected to remain available at the arena during sessions. The Coordinator reserves the right to remove a child from the ice if necessary. PHOTO WAIVER: The applicant grants TFSC the right for display or promotional purposes, the use of any photographs or videos taken of the applicant and waives/releases any claim related to such use.

Signature of Parent/Guardian/Cardholder:______Date: ______