AIT MSP: 2020 FALL SEMINAR
AIT Social Distance Seminar

With Special Guest Presenter -- Professional Skater Maria Starr

For ages 10+ and Freestyle 1+

Friday, October 16
Veterans Memorial Community Center
8055 Barbara Ave, Inver Grove Heights, MN 55077
5:45-6:45: off ice
7:00-8:00: On Ice

Questions? Contact Garrett at msp@americanicetheatre.org
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Name *
Email address *
Level of skater (please list all test levels (MIF, Freestyle, Dance) *
Skater's Age *
Is the Skater under the age of 18? *
If you are under 18, please write in your parents names and a contact email address for them below.
Name of Coach *
Does your coach know that your skater will be attending this AIT seminar? Please inform your coach. *
What club is your skater a member? *
The cost is $40 for the seminar. You must pay for your registration through PayPal OR in person at the event. If you choose to pay via PayPal - please send to msp@americanicetheatre.org. If sending check, please make checks payable to "American Ice Theatre MSP" *
Emergency Contact Person *
Emergency Contact Phone Number *
Known Allergies/Medical Conditions
Medications
Are you currently under treatment? If so, please explain.
Agreement & Release
I understand that American Ice Theatre [AIT] its officials, employees and agents, officers, directors its subsidiaries cannot be responsible for any injuries or damage suffered by my participation in the AIT MSP SEMINAR. With this knowledge, I consent to my participation in the PROGRAM. I further consent to my participation in choreography assignments and any other activity in connection with this program. I agree that I or anyone I enlist in connection with his program will not institute any legal action or assert any claim against AIT for any injury or damage experienced during the PROGRAM. I am in full understanding of, and will comply with policies as set forth by AIT Directors. All students are expected to conform to the PROGRAM's policies, and conduct themselves in a disciplined, responsible and courteous manner at all times. I understand that AIT teachers reserve the right to suspend or dismiss any student whose attitude, attendance or conduct is found to be unsatisfactory. I understand that while in the AIT MSP SEMINAR, photographs or videotape of my image may occur. I hereby consent to my image and name being used by AIT and(presenters) for commerce, business, educational and/or entertainment purposes, without limitation. Also, Jodi PorterCompany LLC / AIT may use the information or testimony I provide to the organization for similar purposes, without restriction. I also agree never to conduct educational programs i.e. classes, seminars, webinars, workshops etc. based on the concepts of AIT without express written permission of founder, Jodi Porter. *
Would you like to be added to our emailing list? *
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