Lakeshore Skating Academy               
Come learn to skate with Lakeshore Skating Academy. Come have fun and make memories that will last a lifetime!

Please complete the form below.  The information will be used to register your skater with Learn to Skate USA. At the end of the form are waivers we need signed before the first class takes place. Thank you for your cooperation! We look forward to seeing you soon!
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Email *
Skater's name *
Skater's Birthday *
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Email *
Skater's Address (please include zip code) *
Phone *
Allergies *
Male or Female *
US Citizen *
Heads Up Parent and Athlete Concussion Form -  Please read the following article with the link below. Check that you have read and understand the article. https://www.cdc.gov/headsup/pdfs/custom/HeadsUpConcussion_Parent_Athlete_Info.pdf?fbclid=IwAR0XV_wTZf2d0Je4CghCyytviStLhlfSHe40_YVt07sxW3IqqI6iRp4b5pY *
Required
Waiver                                                  By placing my initials, I agree to the terms and conditions of this waiver. Acknowledging that ice skating can be hazardous, I agree that Lakeshore Skating Academy, its agents, servants and employees shall not be liable to me (my child) for any injury or damage, howsoever caused, resulting directly or indirectly from me (my child’s) participation in ice skating, whether incurred on the ice or otherwise in or about the building at any time preceding during or subsequent to the delivery of the program and I hereby discharge Lakeshore Skating Academy, its agents, servants, and employees from all actions, claims, and demands in regards to me (my child) for any injury and damage, howsoever caused, incurred in or about the residence of buildings at any time during the term of the program. I also understand and agree that no portion of my (my child’s) registration fee will be refunded to me (my child) in the event, for whatever reasons, I (my child) withdraw from the Lakeshore Learn to Skate. I further acknowledge and agree that Lakeshore Skating Academy does not insure and will not be expected at any time, to insure the safety or the proper state of repair of my (my child’s) equipment used by me (my child) during the program and that  Lakeshore Skating Academy does not, and shall not, be considered to guarantee or warrant the program material used by it during the program. I also acknowledge and agree that Lakeshore Skating Academy reserves the sole and exclusive right to use any photographs taken during the program for advertising and/or instructional purposes, without cost or charge whatsoever to Lakeshore  Skating Academy. I also understand that my agreements, releases, and discharges herein shall bind my heirs, legal representatives and assigns and shall inure to the benefit of Lakeshore Skating Academy, its agents, servants and employees, and their successors and assigns. *
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