2022-23 SCNV Club Ice Session Contract

2022-23 Club Ice Session Contract

Skating Club of Northern Virginia
This CONTRACT is for subscribing to Club Ice sessions as described in the 2022-2023 SCNV Club Ice Sessions web page. Both Sunday and Monday sessions are held at Fairfax Ice Arena. There are 25 Sunday morning sessions which begin August 28, 2021 and end May 21, 2023. There are 35 Monday evening sessions which begin August 29, 2021 and end June 5, 2023.

Please check the online web calendar for the official club ice schedule (see Club Calendar).

A separate contract is required per skater.

Contact clubice@scnv.org for assistance.
Skater's Full Name *

First Name Last Name
Skater's Date of Birth *

Month Day Year
Skater's Gender *
Skater's Phone Number (Primary) *

Area Code Phone Number
Skater's USFSA # *
Membership #
Skater's Email Address *
Skater's ISI #
Membership #
ISI Test Level *
Highest Level Passed or none
FS Test Level *
Highest Level Passed or none
MITF Test Level *
Highest Level Passed or none
Coach's Full Name *

First Name Last Name
Parent/Guardian's Full Name *

First Name Last Name
Parent/Guardian's Phone Number *

Area Code Phone Number
Parent/Guardian's USFSA # *
Membership # (use Skater's if N/A)
Parent/Guardian Email Address *
example@example.com
Skater's Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Club Ice Sessions

Please select all desired options, and use EntryEeze for online payment
Club Ice Sessions Pricing
1. $420.00 - Fairfax Ice Arena - Mondays 7:25 - 7:45 PM or 7:45 - 8:05 PM - 20 minute Solo Pattern Dance Class with Christine Valente. There are two open Solo Pattern Dance classes which provide instruction and test preparation at any level of the Solo Pattern Dance series. Coach to audition and schedule skaters for either class time based on demonstrated ice dance skillset. Prepared skaters will be invited to test their dances during the December 2022 club test session, and at the last club test session in June 2023 (with Full or Installment payment options for all 35 sessions)
  1. $420.00 - Full Payment due now, or
  2. $263.00 - First Installment Payment due now
  3. $157.00 - Last Installment Payment due January 22, 2023
2. $455.00 - Fairfax Ice Arena - Mondays 8:05 - 8:45 PM - 40 minute Freestyle Session (with Full or Installment payment options for all 35 sessions)
  1. $455.00 - Full Payment due now, or
  2. $285.00 - First Installment Payment due now
  3. $170.00 - Last Installment Payment due January 22, 2023
3. $325.00 - Fairfax Ice Arena - Sundays 11:20 - 12:00 PM - 40 minute Freestyle Session (Full payment only for 25 sessions)
  1. $325.00 - Full Payment due now
Club Ice Session Options *

FIA - Mondays 7:25 - 8:05 PM Solo Pattern Dance Class with Christine Valente FIA - Mondays 8:05 - 8:45 PM 40 minute Freestyle Session FIA - Sundays 11:20 - 12:00 PM 40 minute Freestyle Session
Club Ice Session Payments are handled via EntryEeze (see Merchandise) for online payments. Checks payable to SCNV are accepted via hand delivery to Club Ice Sessions Chair or Club Treasurer. Please do not mail checks, nor leave any payments at the FIA Club Mailbox. Registration is complete when payment plus both Medical Release and Contract have been received.
Club Ice Session Payment Options *

Sunday FS Full Payment (due with contract) Monday SPD Full Payment (due with contract) Monday SPD Installment Payments (First payment for Monday Solo Pattern Dance Sessions due with contract, Last payment due January 22, 2023) Monday FS Full Payment (due with contract) Monday FS Installment Payments (First payment for Monday Freestyle Session due with contract, Last payment due January 22, 2023)
Skater Contract

Please note that all payments are non-refundable.
CONTRACTUAL OBLIGATION (Must be signed by all Adult Full Members or the Parent Member of Junior Full Members)

I, the undersigned, understand that I have made a contractual commitment to pay for ALL SCNV Freestyle sessions that I have purchased and that this commitment is for the duration of the season (through June 2023). Since SCNV has reserved a place for me, or my child, I may not be released from this contractual obligation. I understand that there will be no refunds and ice time cannot be transferred or resold. Substitutions (i.e. make-ups) for any club ice program must be approved by the Club Ice Sessions Chair. I agree to be responsible and pay promptly for all Club Ice contracts and drop‐in ice booked by the skater named above or myself, in order to remain in good standing as a member of the SCNV.

In consideration of the benefits to us awarded by acceptance of this application, I agree to hold and save harmless the Skating Club of Northern Virginia, Inc., its agents, its board and its officers for any claims or demands arising out of any accidents and injuries (including COVID-19) during skating sessions or other Club sponsored activities, or for loss of personal property. I also agree to abide by all SCNV rules as well as the rules and guidelines set forth in the latest edition of the USFSA Rulebook and the SCNV Season Handbook. I further understand that failure to abide by these rules may result in the loss of Club membership and the skater's suspension, without reimbursement, from Club Ice sessions for repeatedly breaking those rules.

If I have chosen to make payments by installments, I agree to the payment policy of the SCNV. Installment payment of ice fees is a privilege, which must not be abused. The Club Ice Chair must receive all payments by the dates listed above. Members delinquent in their payments will be suspended for all Club-Ice programs and will be refused test, ice and competition privileges.

Registration to participate is considered incomplete without a submitted contract and medical/emergency treatment release form. Payment only does not guarantee registration to any club ice program.
E-Signature: *
Must be signed by self (over age 18 years) or parent/guardian of skater
Should be Empty:

2022-23 Club Ice Session Contract

Club Ice Sessions

Skater Contract