Vegreville Skating Club 2021-22 Registration Form

Vegreville Skating Club

2021-2022 Registration Form
Student Name *

First Name Last Name
Birth Date *

Day Month Year
Gender
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

Program fees are calculated based on the number of sessions and hours/week. Discounts are given when skaters are registered full time (2 days/wk).
Outline of Programs
Choose a Program *

$294.00 PreCanskate Fridays (21 Sessions) $320.25 Canskate Fridays (21 Sessions) $393.75 StarGroup Fridays (25 Sessions) $362.25 StarGroup Sundays (23 Sessions) $655.50 StarGroup Fridays & Sundays (46 Sessions) $431.25 StarSkate Fridays (25 Sessions) $402.50 StarSkate Sundays (23 Sessions) $701.50 StarSkate Fridays & Sundays (46 Sessions)
# of Private lessons requested/wk - StarSkate (billed monthly by coach). Please note lessons will be determined after the start of the season based on availability. A combination of private/semi-private may be required to satisfy all requests.

1 2 3 4
Skate Canada Insurance Amount *
Mandatory Non-Refundable Fee
TOTAL COST *
Autopopulated
Payment Option - Note that Full Insurance Cost will be added to first payment *

1 Full Payment - etransfer 1 Full Payment - cheque 2 Payments - etransfer 2 Payments - cheques
Please submit by Oct 15, 2021
Full Payment
Please submit by Oct 15, 2021
1st Installment + Full Insurance
Please submit by Jan 6, 2022
2nd Installment
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, 2021. Sessions fees will be deducted up until November 15, 2021 in case of a refund. 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 2021-2022 season may have specific COVID-19 protocols, regulations, and checklists that all families will be required to follow if designated by Skate Canada, Skate Alberta-NWT and/or the government of Alberta. I/We understand that we may 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. I/We understand that if the club pursues a small fundraising endeavor that every family will be required to participate I/We understand that from time to time photos may be published in local papers and/or arena displays.
I have read and understand CLUB RULES - REQUIRED, PLEASE INITIAL *
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Vegreville Skating Club

Parent/Guardian Information

Program