2023 CanSkate FunFest (Pense)

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Event Date: Sunday, January 8, 2023
Event Address: Pense Memorial Rink, 335 Manitoba Street, Pense SK

Email *

Skater First Name *

Skater Last Name *

Please choose the skater's current CanSkate Level

(this is the level they are in, but have not yet passed)

CanSkate Level 1

CanSkate Level 2

CanSkate Level 3

CanSkate Level 4

CanSkate Level 5

CanSkate Level 6

Optional Add on: CREATIVE Event (ADD $5)

(this is a movement to music event - no choreography is needed - all skaters are eligible to register)

No Thanks

Yes Please

Optional Add on: FAST-TRACK Event (ADD $5)

(this is a race event - all skaters are eligible to register)

No Thanks

Yes Please

Optional Add on: SPIN, SPIRAL & JUMP Event (ADD $15)

(Only Level 5 & 6 skaters - tech package to be provided)

No Thanks

Yes Please - CanSkate Level 5

Yes Please - CanSkate Level 6

Coach Name *

Coach Email

(will be used to send technical package to them)

Skating Club Name *

Participant's Release: By my participation in this event, I consent to the known & foreseeable physical risks inherent in the sport of figure skating. These risks include, but are not limited to: travel to & from the arena, ice conditions, equipment failure, falls, collisions with other participants and/or instructors, and facility conditions. In assuming these risks, I, the undersigned, forever release for myself, my heirs, & any person acting on my behalf. The Host Club, Host Town and Skate Canada-Saskatchewan, and its directors, employees, coaches, officials, instructors, independent contractors, agents and sponsors, from any claim arising from any illness or injury to my person as a result of my participation in this activity. *

Agreed to the above Release

Parent Name *

Today's Date *

YYYY

Payment Total - Select the amount owing *

$40 (Element event only)

$45 (Element Event PLUS Fast-Track OR Creative)

$50 (Element Event PLUS Fast-Track Event AND Creative Event)

$60 (Element Event PLUS Fast-Track Event OR Creative Event AND Spin, Spiral, Jump)

$65 (Element Event PLUS Fast-Track Event AND Creative Event AND Spin, Spiral, Jump)

Payment Submission - submit payment via etransfer to penseskateclub@gmail.com.

Payments must be received prior to Dec 1, 2022 to confirm registration.

Agreed

You will receive email copy of this form submission for your records. We will also email the technical package for the events by Dec 8, 2022. Any other event questions can be submitted to penseskateclub@gmail.com or in the comment box below

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

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