Vegreville Skating Club 2022-23 Registration Form

Vegreville Skating Club

2022-2023 Registration Form
Student Name*

First NameLast Name
Birth Date*

DayMonthYear
Gender
Medical conditions or special needs
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Parent/Guardian Information
Parent/Guardian 1 Name*

First NameLast Name
Parent/Guardian 1 Mobile*

Area CodePhone Number
Parent/Guardian 1 Email*
example@example.com
Parent/Guardian 1 Home

Area CodePhone Number
Parent/Guardian 2 Name

First NameLast Name
Parent/Guardian 2 Mobile

Area CodePhone Number
Parent/Guardian 2 Email
example@example.com
Emergency Contact*

First NameLast Name
Emergency Contact Ph.*

Area CodePhone Number
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*

$290.00 PreCanskate Fridays (20 Sessions)$310.00 Canskate Fridays (20 Sessions)$464.00 StarGroup Fridays (29 Sessions)$464.00 StarGroup Sundays (29 Sessions)$652.50 StarGroup Fridays & Sundays (45 Sessions)$507.50 StarSkate Fridays (29 Sessions)$507.50 StarSkate Sundays (29 Sessions)$697.50 StarSkate Fridays & Sundays (45 Sessions)
# of Private lessons requested/wk - STARSKATE ONLY (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.

1234
Skate Canada Insurance Amount*
Mandatory Non-Refundable Fee
TOTAL COST*
Autopopulated
PAYMENT CALCULATOR

See payment amounts based on:
OPTION 2: INSTALLMENT 1
1st Installment + Full Insurance
OPTION 2: INSTALLMENT 2
2nd Installment
OPTION 1: FULL PAYMENT
Full Payment
Payment Option - Note that Full Insurance Cost will be added to first payment*

OPTION 1: 1 Full Payment - etransfer or chequeOPTION 2: Two Installments - etransfer or cheque
PAYMENT DEADLINES
Anticipated Costume Size (for Carnival) - March 2023, Please anticipate for growth, jackets etc.

Youth Small (4-6)Youth Medium (8-10)Youth Large (10-12)Youth X-Large (12-14)Adult Small (2-4)Adult Medium (6-8)Adult Large (10-12)Adult X-Large (14-16)
CLUB RULES: Please acknowledge by checking each box - 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 11, 2022. Sessions fees will be deducted up until November 11, 2022 in case of a refund. The Skate Canada insurance fees are non-refundable. However, after November 11, 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.I/We understand that registration fees do not include fees for funskates or competitions. Separate event attendance is at the skater/parent(s) discretion and paid separately to the host organization by skater/parent(s). If interested in attending a funmeet, please email the club expressing your interest and to request further information.I/We understand that skaters in StarGroup or higher are required to be evaluated at each level/stage. Each evaluation will incur a separate Skate Canada evaluation fee, to be billed separately.I/We understand that if the registrant is in Starskate and in level Star 6 or higher, the skater will need to travel for testing days and incur out of pocket costs above and beyond the Skate Canada evaluation fee.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, arena displays and/or social media.I/We understand that due to COVID-19 or any other extraordinary event, 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 or any other extraordinary event), 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 2022-2023 season may have specific COVID-19 protocols (or any other extraordinary event 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, if applicable, 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.
CLUB RULES - REQUIRED
I, First Name* Last Name* , have read and understand the Club Rules checked off above.
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Vegreville Skating Club

Parent/Guardian Information

Program

PAYMENT CALCULATOR