Tune in and Bring a Friend to Inclusive Skating

Tune in and Bring a Friend to Inclusive Skating Registration Form
Saturday 8th October 2022 | 2:00-4:00pm
Liverpool Catholic Club, Ice Skating Rink, Prestons

Please fill in the form below to secure your spot!

Regular Inclusive Skating Session will commence at 4:15pm | Cost: $15.00
Skater Details
Full Name: *

First Name Middle Name Last Name
Parent, Carer, Guardian or Companion Name:
Age:
Address:

Street Address

Street Address Cont

City State

Post Code
Phone Number: *
Please enter a contact number
E-mail: *
example@example.com
Gender:

Female Male Non-Binary Prefer not to say
Emergency Contact Details
Emergency Contact:
Emergency Contact Number:
Please enter an emergency contact number
Registration Details
Registration: *

Registration Fee (Required) – I understand that the Tune in and Bring a Friend session cost is $15.00
Event cost is $15.00 which includes; Ice Time, Skate Hire, Refreshments and Goodie Bag.

Please ensure that payment is paid to the below account to complete the registration.

Inclusive Skating Australia
BSB: 633000
ACC: 194114856

Please send payment reciept to inclusiveskatingaus@gmail.com
Skater Profile

Please share with us your needs and skating background.

NOTE: All responses will be confidential and shared with Coaches and Volunteers only.
Skating Experience:

I have never skated before I have skated before I attend skating lessons regulary I have attended skating group lessons
3 things that I like:
Please tell us 3 things that your skater likes
3 things that I don't like:
Please tell us 3 things that your skater does not like
I would like support with:

Access to the rink e.g. Using the lift Putting on skates Entering the ice surface Directions to ammenities Other
Important things I would like Coaches and Volunteers to know:

Sensitive to noise Sensitive to light Communication difficulities Behavioural challenges Vision impairment Hearing impairment Mobility challenges Anxiety or difficulties in social settings Other
Is there anything else you would like to share with us:
Dietary requirements for afternoon tea:
Please note not all dietary requirements can be catered for
I consent to photos/videos being shared on social media and/or used on future ISAUS promotional material: *

Yes No Other
I would like to be contacted by ISAUS regarding future events and programs: *

Yes No Other
Please reach out to Inclusive Skating Australia on
inclusiveskatingaus@gmail.com if you have any questions
or would like to discuss individual needs for the event.
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Tune in and Bring a Friend to Inclusive Skating Registration Form

Please reach out to Inclusive Skating Australia on inclusiveskatingaus@gmail.com if you have any questions or would like to discuss individual needs for the event.

Please reach out to Inclusive Skating Australia on
inclusiveskatingaus@gmail.com if you have any questions
or would like to discuss individual needs for the event.