November Seasons of Skating 2023

When: November 18th from 12:00-6:00

Where: South Wood County Recreation Center

Cost: $190

Please complete your payment using venmo (@seasonsofskating) before completing this registration form.

Private lessons will be offered to skaters before the seminar on the evening of November 17th.

Skater Name:

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email

example@example.com

Phone Number

Please enter a valid phone number.

USFS #

Parent/Guardian (if under 18)

T-Shirt Size

Moves in the Field/Skating Skills Level

Highest Consistent Jump

Competition Level

Primary Coach Name

Interested in Private/Semi Private Lessons

Friday Night (November 17th)

SEASONS OF SKATING

COVID-19 PARENTAL CONSTEN AND WAIVER OF RESPONSIBILITY

By signing this waiver, we, the undersigned student, parent or guardian, agree the risks of participating in activities held by Seasons of Skating (SOS) and waive all claims for any personal injury and/or loss or damage to property and hereby release the SOS/Ice Arena and its staff, volunteers and agents from any liability whatsoever, which may arise as a result of participation in the Seasons of Skating activities. This release shall extend to all future damages and injuries of every nature and however sustained, even if due to the negligence or alleged negligence of Seasons of Skating, Ice Arena or their staff or volunteers. All risk associated with observing or participating in the Seasons of Skating are hereby assumed by the student and his or her parents and/or guardian and this assumption and release are acknowleged and approved by their signature hereto.

Seasons of Skating reserves the right to terminate the contract of any student, without refund, when it is deemed to be in the best interest of either the student or Seasons of Skating. I have read and understand the exposure risk and the guidelines for participation in the activities held by Seasons of Skating. I have read the foregoing, explained its meaning to my child or ward and hereby do approve and consent to the terms and conditions stated. I further acknowledge being the parent or legal guardian of the applicant that the information given on this application is complete and accurate.

Parant/Guardian Signature:

PARENTAL CONSENT, PHOTO RELEASE AND WAVIER OF RESPONSIBILITY
In the consideration of the acceptance of Skater Name as a student in Seasons of Skating Seminar, we the undersigned student, parent and/or guardian, agree to assume the risks of participating in the program and waive all claims for any personal injury and/or loss or damage to property and hereby release Seasons of Skating, it's employees and agents from any liability whatsoever, which may arise as a result of participation in the Seasons of Skating Seminar. This release shall extend to all future damages and injuries of every nature and however sustained, even if due to the negligence or alleged negligence of Seasons of Skating or their staff or employees. All risk in observing and/or participating in Seasons of Skating are hereby assumed by the student and his or her parents and/or guardian and this assumption and release are acknowledged and approved by their signature hereto.

Seasons of Skating reserves the right to use any pictures/videos taken during the seminar for advertising and or instructional purposes.

I have read the foregoing and hereby approve and consent to the terms and conditions stated. I further acknowledge being the parent or legal guardian or the applicant and the information given on this application is complete and accurate.

Parent/Guardian Signature: Signature Date

EMERGENCY TREATMENT RELEASE FORM

I, Skater Name , do hereby authorize any physician and/or any member of the medical staff of any hospital or emergency treatment center to render medical treatment (Parents/Guardians are responsible for all medical expenses incurred), which in his or her judgment may be deemed necessary in the car of:

First Name   Last Name      Date of Birth
Physician Name    Physician Phone #
Allergies   Current Medication
Outstanding Medical History

Parent/Guardian Signature:   Signature   Date

Payment

Upon receiving your registration form and confirming your Venmo payment (@seasonsofskating) your skater will be added to the roster for the SOS Seminar. Please put the date of Venmo payment here Venmo Date. If are not able to process a Venmo payment in order to sign your skater up, please reach out to Danielle Wolosek or Sandra Johansson to figure out other options before completing this form.

Please note: Refunds will only be available when replacement of the skater is possible, due to number restrictions.

Coaches may attend with their skater for $50 dollars or free if they have 3 skaters attending. Please email seasonsofskating@gmail.com to get your coach registered.