JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
SHALLOW LAKE SKATING CLUB
REGISTRATION 2023 - 2024 SEASON
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Skater's Name (First and Last)
*
Your answer
Male, Female, Other
*
Your answer
Skater's Birth date
*
MM
/
DD
/
YYYY
Name of Parent/Guardian
*
Your answer
Address of Parent/Guardian (full address including postal code)
*
Your answer
Contact Telephone Number with area code
*
Your answer
Email Address
*
Your answer
If your child is participating in Parent/Tot please provide the
name of ONE adult
that will be on the ice with skater as well as
that person's date of birth
. If contact information for that adult is different from above, please provide that information. Only ONE parent will be registered for insurance and is permitted on the ice.
Your answer
I would like to register my child for the following program. Please send payment to
shallowlakeskating@gmail.com
.
Provide skaters full name in the memo section of the etransfer.
*
RISINGStars ($800.00 + $58.70 insurance fee) Tuesdays and Wednesday - $858.70
Intermediate STARSkate ($825.00 + $58.70 insurance fee) Tuesday and Wednesday - $883.70
Senior STARSkate ($675.00 + $58.70 insurance fee) Tuesday and Wednesday - $733.70
One Day STARSkate Membership ( **Special circumstances only** please complete registration and we will forward you information on availability and pricing)
I am interested in Adult Learn to Skate and/or Adult Skate/Stroke Program. (Please do not send registration fee until ice and program are confirmed)
Required
As per Skate Canada guidelines, all skaters registered in any Learn to Skate program must wear a CSA Certified helmet, up to and including Stage 5. I agree that if my child is registered in this program, I will adhere to this safety requirement.
*
I agree
Required
I have read, understand and will follow the protocols established by Rowan's Law as found on Shallow Lake Skating Club's website.
*
Parent (if skater is under the age of 18)
Skater
Required
On occasion, Shallow Lake Skating Club may take photos or videos of our members during session and I consent to allowing the club to post on media platforms
*
Yes, I agree
No. Please do not use my childs image/video
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
