Clone of Learn to Skate Registration Form

Learn to Skate Registration

5 week session - Tuesday, April 28 - May 26 and Thursday April 30 - May 28
Parent or Guardian Name

First NameLast Name
Parent or Guardian Name (Optional)

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact

First NameLast Name
Emergency Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Eccles Ice Center Liability Release Waiver
In consideration of being allowed to participate in any way in any program or skating session at the George S. Eccles Ice Center, or related events and activities, the undersigned acknowledges, appreciates, and accepts that:

Prior to engaging in any activity I will inspect the facility and equipment to be used and if I believe anything is unsafe will immediately advise a supervisor of such condition(s) and refuse to participate. Parents and/or legal guardians will instruct a minor participant that prior to engaging in an activity he or she should inspect the facilities and equipment to be used and if the participant believes anything is unsafe, he will immediately advise a supervisor of such conditions (s) and refuse to participate.I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless Bridgerland Community Ice Arena, Inc., George S. Eccles Ice Center, and North Park Interlocal Cooperative, their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, and advertisers, hereinafter referred to as “releasees”, with respect to any and all injury, disability, death, or loss or damage to person or property, whether arising from the non-negligence of the releasees or others.The risk of injury from the activities involved in this program is significant, including the potential for permanent disability, paralysis and death, and severe social and economic losses which might result not only from their own actions, inactions or negligence by the actions, inactions or non-negligent behavior of releasees or others, the rules of play, or the conditions of the premises or of any equipment used. And while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and,
I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any compulsion.
Name

First NameLast Name
Signature

(Signature of Participant or Legal Guardian if participant is under 18 years of age)
Date Signed

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate

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Learn to Skate Registration Payment

USDLearn to Skate Registration

Payment Methods

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Learn to Skate Registration

Participant Page

Eccles Ice Center Liability Release Waiver

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Learn to Skate Registration Payment*

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Learn to Skate Registration Payment