Skate School Registration

Skate School Registration
Parent/Guardian Info
Name *

First Name Last Name
e-mail *
Primary Phone *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State

Zip Code
Relationship to skater(s) *
Permission to include photos of skater(s) in advertising material

Yes No
Permission to administer first aid if necessary

Yes No
Permission to receive email updates from Erina Ice Arena

Yes No
Skater Info
Student Name *

First Name Last Name
Date of Birth *

Day Month Year
Age
Class Enrolment *
Day Attending

Tuesday - 4pm-5pm Saturday - 9am-11am
We would like to schedule one Level 2 class and one Level 3 class at 3.30pm on the Tuesday afternoon to give all of the classes a little more space. If you are attending on Tuesday afternoon, can you make a 3.30pm lesson?

Yes No
Add Skater 2?

Add Skater 2
Skater 2 Info
Student Name *

First Name Last Name
Date of Birth *

Day Month Year
Age *
Class Enrolment *
Day Attending

Tuesday - 4pm-5pm Saturday - 9am-11am
We would like to schedule one Level 2 class and one Level 3 class at 3.30pm on the Tuesday afternoon to give all of the classes a little more space. If you are attending on Tuesday afternoon, can you make a 3.30pm lesson?

Yes No
Add Skater 3?

Add Skater 3
Skater 3 Info
Student Name *

First Name Last Name
Date of Birth *

Day Month Year
Age *
Class Enrolment *
Day Attending

Tuesday - 4pm-5pm Saturday - 9am-11am
We would like to schedule one Level 2 class and one Level 3 class at 3.30pm on the Tuesday afternoon to give all of the classes a little more space. If you are attending on Tuesday afternoon, can you make a 3.30pm lesson?

Yes No
Billing Info
Billing Infomation differs from Parent/Guardian Information
Please note: Parent/Guardian listed above assumes primary responsibility for account maintenance. Billing Info is for contact information only.
Billing Name *

First Name Last Name
e-mail *
Primary Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
How would you like to pay?

Term pass Weekly
Are you redeeming an active kids voucher towards your child's term pass?

Yes No
Term passes include 1 lesson session each week of term plus 1 additional practice session to be used at another time.

9 week term pass - $196
10 week term pass - $220
11 week term pass - $244

Family discounts available if purchasing multiple passes per term - please ask the cashier for more details.

Option available to pay weekly class fee of $24.00 (per person) instead of purchasing term pass.

Term pass holders can make up a lesson missed on another day of the week.
Any free sessions can be redeemed during the term or in school holidays following the term that the pass was paid for.

Active kids vouchers can be redeemed as a part payment for a term pass. Please email your active kids voucher to info@erinaicearena.com.au after submitting your registration form for processing.

Once we have received your registration form, our staff will create a booking for you and send an invoice for payment.
Notes:
Terms and Conditions
Today's Date

Month Day Year
Date
By checking 'I Agree' below and submitting this form, you, the Parent or Guardian of the above student(s), agree to release Erina Ice Arena, including instructors and assistants from liability for any and all injuries which may occur while training, practicing, performing, or during any rink lesson or activity. You also agree that you are responsible for health and accident insurance and any medical costs incurred due to injury. You give permission for emergency medical transportation and treatment of your student(s) at your expense should the need arise.
*

I Agree
Should be Empty:

Skate School Registration

Parent/Guardian Info

Skater Info

Skater 2 Info

Skater 3 Info

Billing Info

Terms and Conditions