Port Carling Skating Club Registration form 2023-24 season Intermediate Session
Thank you for registering for our 2023-24 skating season. The Port Carling skating club offers various levels and skills. Intermediate skaters are typically Star 1-3, free skates, skills and dance. We also offer a synchronized skating program at various levels. Placement is at the discretion of the Coach. Communication from the Club, coaches or team managers is done via email. Registration forms must be completed in full and will NOT be accepted without a payment. Payment can be made via e-transfer to portcarlingskatingclub@gmail.com 
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Email *
Skater's  full Name: *
Skater's Mailing address including Postal Code: *
Skate Canada Number: *
Skaters Date of Birth: *
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Parent A's Name: *
Parent A's Phone Number *
Parent A's Email address: *
Parent B's Name: *
Parent B's Phone Number *
Parent B's Email address: *
Intermediate session: Please choose from the days below.  If you are a second year Intermediate skater you can also add Friday night ice time. *
Required
Synchro Team Registration: If you are unsure which team to register for please connect with Coach Marnee or our Executive Members prior to completing registration. *
Required
Medical Information: Does your child have any medical concerns that our coaches should know about on the ice? Please indicate below: eg. heart problems, diabetes, autoimmune disease, etc *
Does your child wear braces, eye wear, hearing aid etc? Please indicate below *
Does your child 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, Skater’s Code of conduct, Medical Form and Concussion Policy. 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. *
A copy of your responses will be emailed to the address you provided.
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