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  • SKATE LIKE A GIRL

    Winter 2021 Program Registration Form
  • PROGRAM SELECTION

    STEP 1 of 5
  • Select your Session(s):

    You can register for both Sessions by marking each box!

  • Select your Session(s):

    You can register for both Sessions by marking each box.

    Want to add an additional 20-minute 1-on-1 Weekly Call with a Coach? 

    Check both boxes for that Session and we will be in touch to schedule a date and time for your additional call.  Our current windows of time for these calls are Monday, Wednesday, and Friday between 5:00 PM and 7:30 PM.

  • You have selected a program that is SOLD OUT. You will not be able to submit the form with this program selected.

    CLICK HERE if you'd like to be added to our Wait List

  • Email us directly at programs@skatelikeagirl.com if neither of these day/time windows will work or if there is a specific time that you need to request.

  • PARTICIPANT INFO

    STEP 1 of 4


  • CONTACT INFO

    STEP 2 of 4


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  • *NOTICE: Participants outside of the United States will be charged a flat fee of $20 to cover additional costs.

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  • CONSENT

    STEP 3 of 4
  • Choose File
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    • Gear & Tech Requirements (Click to Expand)  
    • Skaters will need:

      • Reliable internet connection
      • Device w/ camera and ability to join Microsoft Teams video conference (Zoom, Teams, etc.)
      • Skateable space (5'x5' flat and smooth)
      • Skateboard & Helmet
    • TECH RECOMMENDATIONS:


      All Participants: Download Microsoft Teams app to your device and set up your free account login/password:
      Click Here To Download
      Watch a short video about Microsoft Teams here


      Teen/Adults Only: In addition to Teams, download Slack to your device and set up your free account login/password:
      Click Here to Download
      Watch a short video about Slack here


      *If you are not able to download Microsoft Teams/Slack or have issues/questions with the technology, please email programs@skatelikeagirl.com for assistance!

    • How Skate Like a Girl can support you:

      • Loaner boards/helmets are available in Seattle, Portland and Oakland/East Bay Area and we can arrange a pick up or drop-off to you, just complete our Equipment Request Form . 
      • If you have any tech-related issues, please email programs@skatelikeagirl.com  
      • If you're looking for free or low-cost internet service and computers in your area, contact your local Public Library or  click here .
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    • Medical Consent & Acknowledgement (Click to Expand)  
    • MEDICAL CONSENT & ACKNOWLEDGEMENT 

      I hereby authorize and give permission, that myself / the participant may be given emergency treatment including first aid and CPR by qualified Skate Like a Girl staff and volunteers. I also give permission for myself/my child to be transported by ambulance and to be treated by any physician, hospital, health care provider, or other medical personnel selected by the staff of Skate Like a Girl to provide prompt medical services. I agree that once the participant is in the care of medical personnel or a medical facility, Skate Like a Girl shall have no further responsibility for the participant and I agree to pay all costs associate with such medical care and transportation.

      In the event that I cannot be contacted, I further authorize consent to the medical, surgical, and hospital care treatment procedures to be performed for myself/my child by a any physician, hospital, health care provider, or other medical personnel selected by a Skate Like a Girl staff when deemed necessary or advisable by the medical personnel to safeguard the participant’s health. I wave my right of informed consent to such treatment.

      The health history on this page is correct and not falsified to the best of our knowledge.

      BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE. 

       

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    • LIABILITY RELEASE

      All participants under the age of 18 are required to wear helmets at all Skate Like a Girl programs.

    • Informed Consent, Digital Program Terms, & Acknowledgement (Click to Expand)  
    • INFORMED CONSENT & ACKNOWLEDGEMENT

      In consideration of being allowed to participate in any way in the Skate Like a Girl clinic, program, related events, and activities the undersigned acknowledges, appreciates, and agrees that:

      1. The risk of injury from the activities involved in these programs is significant, including potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury to me does exist, and,

      2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation, and

      3. I willingly agree to comply with the stated and customary terms and conditions for participation. If I observe any unusual significant concern in my readiness for participation and/or in the program itself, I will remove myself from participation and bring such to the attention of the nearest official immediately, and

      4. For myself and on behalf of my/our heirs, assigns, personal representatives and next of kin HEREBY RELEASE Skate Like a Girl its officers, officials, agents, and/or employees, other participants, sanctioned events, sanctioned organizations, volunteers, sponsoring agencies, sponsors, advertisers, and if applicable, owners, lessors of premises used to conduct the event (Releasees), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property incident to my involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.

      5. I, for myself and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all of the above Releasees from any and all liabilities incident to my involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIGENCE, to the fullest extent of the law.

      I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT. I ATTEST THAT I AM PHYSICALLY FIT AND HAVE BEEN TRAINED FOR THIS ACTIVITY.

      DIGITAL CAMP TERMS AND ACKNOWLEDGEMENT

      I assume all risks, and hazards incidental to participating in the activity and do hereby waive, release, absolve, indemnify, and agree to hold harmless Skate Like a Girl, their supervisor, participants and instructors for any claim arising out of any injury to myself or the participant.

      I grant full permission to use any photographs, videotapes, motion pictures, recordings, or any other record of me or my child in this program for promotion of Skate Like a Girl. 

      I, myself as the participant, or the undersigned parent and/or guardian with legal responsibility for the participant, does hereby allow the participant to voluntarily participate in the 2020 At Home summer program and all related activities.

      I realize that no environment is risk-free, and so I personally acknowledge or have instructed my child on the importance of abiding by the camp’s rules, and  agree that I am/we are familiar with these rules and will obey them. Myself or my child may participate in any and all officially administered, sponsored or sanctioned activities (such as, but not limited to, video gatherings, breakout rooms, and arts & crafts) provided as part of the Skate Like a Girl At Home camp. I understand and agree, that Skate Like a Girl cannot in any way guarantee the security of any outside platform, and that I am responsible for my own and my child’s personal cyber security.

      • I understand that because of the virtual camp setting, camp will not be providing supervision of myself or my child, and that I am fully responsible for any and all necessary supervision.
      • I agree that I will not permit any minor who has not been accepted into this program, or whose parents have not signed this document to in any way participate in camp's online activities.
      • Further, I hereby release, discharge and otherwise indemnify Skate Like a Girl, its affiliated organizations and sponsors, its officers, directors, employees, volunteers and agents against any claim by or on behalf of myself or my child as a result of our participation in any program, virtual program or activity sponsored, coordinated, or supervised by Skate Like a Girl. I also agree to release, discharge and agree to hold harmless and indemnify Skate Like a Girl with respect to any medical expenses resulting from personal injuries sustained by me or my child while engaged in such activities.
      • I attest that me or my child is physically capable of engaging in said program.
      • I grant permission to Skate Like a Girl and its agents to make, use, copyright and publish news stories, still photographs and/or video or audio recordings of At Home camp. I grant the right and permission to use the material, including reproduction in publicity releases, slide productions, web site, publications, television productions or any other media. I also grant permission for representatives of news media to photograph/video me or my child for use in news stories about camp activities including material which is generated via the virtual camp platform, voluntarily posted to social media and by or through participation in a Skate Like a Girl event, video or the like.

      BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

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    • PAYMENT

      STEP 4 of 4
    • SCHOLARSHIP FUND

      At Skate Like a Girl we believe in making our programs accessible and have a scholarship fund set up to help those in need. Please consider a contribution to this fund to create access for others join our programs. 100% of donations go towards scholarships.

      Want to go above and beyond?

      Become a Skate Like a Girl "Skateholder" with a recurring donation! 

      😇 Thanks for your support 😇

    • Please Review Skate Like a Girl's Refund Policy

    • Confirmation of Your Selected Program(s):

      {selectYour}

       

    • The total is automatically filled based on:

      1. the program(s) you have selected
      2. donations to the scholarship fund
      3. any coupon or registration code you have entered

      If your total does not appear to be correct, please double-check those fields.

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    • QUESTIONS?

      Check out our FAQS or send an e-mail to: kwame@skatelikeagirl.com

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