Winter 2023 Skating Registration Form

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Location: Humphrey Arena - 15 Humphrey Drive, Seguin, ON.

2023 Winter (January - March) session schedule (subject to change)

Tuesday:

Junior Star: 4:00-4:35pm

Star 1: 4:00-4:45pm

Star 2+: 4:00-5:15pm

Pre-Canskate & CanSkate: 5:15-5:50pm

Wednesday:

Star 1: 4:30-5:15

Star 2+: 4:30-5:50

Canskate (No Pre-CanSkate): 6:05-6:50

________________________________________________________________________

Pre-canskate

$135.00 + $30.00* admin fee (9-week session on Tuesdays from January 10 - March 7, 2023)

Canskate

Offered Tuesday and/or Wednesday - choose 1-2 days, cost is per day of the week/session
$135.00 + $30.00* admin fee (9-Week session on Tuesdays & Wednesdays from January 10 - March 8, 2023)

Junior Star

$135 + $30.00* admin fee (10-week session on Tuesdays from January 3 - March 7, 2023)

Star 1 (Offered Tuesday and/or Wednesday - choose 1-2 days, cost is per day of the week/session)

$145.00 + $30.00* admin fee (10-week session from January 3 - March 8, 2023)

Star 2+ (Offered Tuesday and/or Wednesday - choose 1-2 days, cost is per day of the week/session)

$155.00 + $30.00* admin fee (10-week session from January 3 - March 8, 2023)

*Admin fee: Each skater will be charged $30 administration fee annually. This fee covers insurance and registration for Skate Canada for 1 year. This fee is charged once per year (not per session). (Ie. If you paid this for the fall session, you won't be charged again).

Email *

Select your child's level *

Pre-CanSkate

Canskate

Junior Star

StarSkate 1

StarSkate 2+

Winter 2023 (Jan - March) Registration

Which program are you registering for?

Pre-Canskate Tuesdays 5:15-5:50pm (Jan 10 - March 7, 2023)

CanSkate Tuesdays 5:15 - 5:50pm (January 10 - March 7, 2023)

CanSkate Wednesdays 6:05 - 6:50pm (January 11 - March 8, 2023)

Junior StarSkate Tuesdays 4:00-4:35pm (Jan 3 - March 7, 2023)

StarSkate 1 Tuesdays 4:00-4:45pm (January 3 - March 7, 2023)

StarSkate 1 Wednesdays 4:30-5:15pm (January 4 - March 8, 2023)

StarSkate 2+ Tuesdays 4:00-5:15pm (January 3 - March 7, 2023)

StarSkate 2+ Wednesdays 4:30-5:50pm (January 4 - March 8, 2023)

Skater's First & Last Name *

Date of Birth *

YYYY

Skate Canada #

Parent/Guardian First & Last Name *

Emergency Contact Name *

Emergency Contact Phone Number *

Medical conditions (please describe)

Street Address *

City/Town *

Postal Code *

Phone Number *

Email Address *

Method of Payment (due by January 3, 2022) *

*Preferred etransfer to humphreyskatingclub@gmail.com

Cash

Cheque payable to Humphrey Figure Skating Club

I understand that registration is not confirmed until payment has been received. *

Yes

Required

A copy of your responses will be emailed to the address you provided.

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