2021 Seminar Registration (SKATER)

SUMMER SEMINAR REGISTRATION

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

First Name Last Name
Age *
Parent/Guardian Name *

First Name Last Name
CONTACT INFORMATION:
E-mail (required for all event communications) *
Preferred Phone Number *
EMERGENCY CONTACT *

First Name Last Name
Emergency Contact Phone # *
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.
Select event(s): *

Skate and Sculpt (Pre-Juv Moves and above) Skate and Sculpt (Adults) Freestyle/Jump Seminar (90 minutes)
SKATING BACKGROUND:
Skater is currently taking.... *

Group lessons ONLY Private lessons ONLY Both group and private lessons n/a
Current group lesson instructor
Private lesson coach *
Highest Moves in the Field Level Passed *
Skating Category *

Basic Skills Free Skate Freestyle
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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In order to fulfill my required financial commitment to Ronald McDonald House Charities of Central Ohio, I plan to: *

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: *
Additional Comments
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SUMMER SEMINAR REGISTRATION

PARTICIPANT INFORMATION:

CONTACT INFORMATION:

SELECT YOUR EVENT(S):

SKATING BACKGROUND:

PAYMENT: