Port Carling Skating Club Registration form 2023-24 season Canskate Session

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Thank you for registering for our 2023-24 skating season. The Port Carling skating club offers various levels and skills. Our Canskate program runs from October to March. Skaters are typically ages 3 or 4 and up. All Canskaters must wear a CSA approved helmet. Placement is at the discretion of the Coach. Communication from the Club and or coaches is done via email. Registration forms must be completed in full and will NOT be accepted without full payment. Payment can be made via e-transfer to portcarlingskatingclub@gmail.com Early Bird pricing in affect from Aug 28- September 8th 2023.

Email *

Skaters Name: *

Skaters Date of Birth: *

YYYY

Skate Canada Number: (If your skater has been registered in a Canskate program before, they would have a registration number. If not please indicate new skater) *

Skaters Full address including postal code: *

Parent A Name: *

Parent A Phone Number *

Parent A Email address: *

Parent B Name: *

Parent B Phone Number

Parent B Email address: *

Canskate Program Registration: Sessions are 45 min long. Times 6:00-6:45pm Wednesday. Saturday 9:00-9:45am. Classes start Oct 4th 2023 to April 6th 2024. If registering before September 8th please select EARLY BIRD pricing. *

Saturday Only Regular pricing $375.00

Does your skater have any medical concerns that our coaches should know about on the ice? Example Wears glasses, braces, has seizures, diabetic etc *

Does your skater have any allergies? *

The club and its employees are not responsible for any injury or loss of property sustained by the members while engaged in club activities. I assume responsibility for the physical fitness of my child concerning his/her ability to skate in the Port Carling Skating Club and hereby grant authority for medical aid to be administered if required. I understand that the club reserves the right to request a medical certificate indicating fitness to participate in their programs. They also reserve the right to remove a skater from the ice should there be concerns. I assume responsibility to ensure that my CanSkater is wearing a CSA approved hockey helmet while on PCSC ice. I have read and understood this notice and hereby consent to enroll my child as a member under these terms. I have also hereby received a Club Membership Booklet, Skate Ontario Waiver, . By clicking Yes below I agree to registering and paying fees required for the 2023-24 skating season. I will sign required documents and return before my skaters first day. Fees are due in full. *

yes

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