Vegreville Skating Club
2020-2021 Registration Form
Student Name
*
First Name
Last Name
Birth Date
*
Please select a day
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Day
Please select a month
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Month
Please select a year
2024
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Year
Gender
Male
Female
N/A
Medical conditions or special needs
Address
*
Street Address
Street Address Line 2
City
Province
Postal Code
Parent/Guardian Information
Parent/Guardian 1 Name
*
First Name
Last Name
Parent/Guardian 1 Mobile
Parent/Guardian 1 Email
*
example@example.com
Parent/Guardian 1 Home
Parent/Guardian 2 Name
First Name
Last Name
Parent/Guardian 2 Mobile
OPTIONAL
Parent/Guardian 2 Email
example@example.com
Emergency Contact
*
First Name
Last Name
Emergency Contact Ph.
*
Program
Please note Parent and Tot program requires additional insurance for each "parent" on the ice and will be billed separately.
Choose a Program
*
$221 Parent and Tot Part time - 1 day/week
$363 Parent and Tot Part time - 2 days/week
$238 Canskate Part time - 1 day/week
$408 Canskate Full time - 2 days/week
$320 StarGroup Part time - 1 day/week
$560 StarGroup Full time - 2 days/week
$320 StarSkate 1 day/week
$580 StarSkate 2 days/week
$780 Starskate 3 days/week
Desired Parent and Tot day
Monday
Friday
Desired Canskate day
Monday
Friday
Desired StarGroup day
Sunday
Friday
Desired StarSkate 1 day
Monday
Friday
Sunday
Desired StarSkate 2 days
Monday & Friday
Friday & Sunday
Monday & Sunday
# of Private lessons requested - StarSkate (billed monthly by coach)
1
2
3
4
Skate Canada Insurance Amount
*
Mandatory Fee
TOTAL COST
*
Autopopulated
Payment Option
*
1 Full Payment - etransfer
1 Full Payment - cheque
2 Equal Payments - etransfer
2 Equal Payments - cheques
Please submit by Oct 15, 2020
Full Payment
Please submit by Oct 15, 2020
1st Installment
Please submit by Jan 6, 2021
2nd Installment
Please acknowledge - REQUIRED (Initials)
*
CLUB RULES: Please acknowledge - REQUIRED
*
I/We the parent(s) of the above skater, accept that the Vegreville Skating Club (VSC) will not be held responsible for injuries incurred by the skater in connection with skating activities.
I/We understand that the scheduled times may be subject to change.
I/We understand that, as VSC members, we will be required to participate in assisting with our annual carnival or Christmas party.
I/We understand that we will be required to assist with club activities when required.
I/We understand that parents or siblings are not permitted on the ice surface during lessons and are encouraged to refrain from interacting with the skater during lessons as this can be a distraction for the class.
I/We understand that skaters are required to wear proper fitting skates and have them sharpened regularly. Proper fitting helmets and mittens are mandatory.
I/We understand that VSC cannot make up a class or provide a refund if there is a cancellation due to severe weather or other circumstances beyond the control of VSC.
I/We understand that there will be NO refunds of membership fees after November 15, 2020. A charge of $13/14.50/16 per StarSkate session $14/16 per StarGroup session, $12/14 per Canskate session, and $11/13 per Parent and Tot session (#days/week registered, listed most to least) will be deducted up until November 15. The Skate Canada insurance fees are non-refundable. However, after November 15, upon receipt of a medical certificate, the Board may elect to return fees on a pro-rata basis. ($30.00 will be withheld to cover administration costs.)
I/We understand that due to COVID-19, VSC has the authority to modify, restrict, postpone or cancel training sessions of any kind. Refunds for cancelled programs will be on a pro-rated basis for missed classes only.
Refunds or make up sessions will not be offered for sessions missed due to minor illness (colds, flus, including but not limited to COVID-19), vacations, competitions, tests, management disputes or due to skater suspension or expulsion by the club. All other special requests by members are subject to board approval.
I/We understand that the 2020-2021 season will have specific COVID-19 protocols, regulations, and checklists that all families will be required to follow
I/We understand that we will have to complete the self assessment checklist located on the VSC website for each participant and spectator prior to every skating session and log our attendance of all attendees (skater and spectators) prior to entering and exiting the arena. Failure to do so may result in loss of skating fees and expulsion from the skating club.
I/We authorize VSC to contact us via e-mail for informational purposes.
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