2021 Seminar Registration (SKATER)

SUMMER SEMINAR REGISTRATION

Event Dates: July 16 & 17, 2021
PARTICIPANT INFORMATION:
Skater's Name*

First NameLast Name
Age*
Parent/Guardian Name*

First NameLast Name
CONTACT INFORMATION:
E-mail (required for all event communications)*
Preferred Phone Number*
Format: (000) 000-0000.
EMERGENCY CONTACT*

First NameLast Name
Emergency Contact Phone #*
Format: (000) 000-0000.
Relationship to Skater*
SELECT YOUR EVENT(S):

Registration options include:
- Skate and Sculpt (Pre-Juv Moves and above) -- $70
  - Friday, July 16, 5-6pm
  - Minimum Pre-Juv Moves required
- Skate and Sculpt (Adults) -- $35
  - Friday, July 16, 6-6:30pm
- Freestyle/Jump Seminar (90 minutes) -- $95
  - Saturday, July 17, 12-5pm*
  - No minimum level requirement, but skaters should already have jump experience
*Skaters will be assigned a specific 90-minute time segment within the noon-5pm timeframe.

All participants are required to raise or donate a minimum of $25 for Ronald McDonald House Charities of Central Ohio.
Skate and Sculpt (Pre-Juv Moves and above)Skate and Sculpt (Adults)Freestyle/Jump Seminar (90 minutes)
SKATING BACKGROUND:
Group lessons ONLYPrivate lessons ONLYBoth group and private lessonsn/a
Current group lesson instructor
Private lesson coach*
Highest Moves in the Field Level Passed*
Basic SkillsFree SkateFreestyle
Highest Basic Skills Level Passed*
Highest Free Skate Level Passed*
Highest Freestyle Level Passed*
Highest, Most Consistent Jump*
PAYMENT:

To complete your registration/payment, select all applicable events:*

Skate and Sculpt (Pre-Juv Moves and above)$70.00

Skate and Sculpt (Adults)$35.00

Freestyle/Jump Seminar (90 minutes)$95.00

Total $0.00

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Create an online participant page to begin collecting donations towards my $25 fundraising requirement.In lieu of fundraising, I will make a $25 (minimum) donation to RMHC of Central Ohio to fulfill my fundraising requirement.
ACKNOWLEDGEMENT:*
PHOTO RELEASE*
WAIVER / TERMS & CONDITIONS:*
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SUMMER SEMINAR REGISTRATION