ASC Program Registration Form

ASC Registration - Pre/StarSkate Program

Please complete the form below to register. One form must be completed per skater. If you have any questions, please email us at: info@ayrskatingclub.com.
Program *

StarSkate
Step 1: Skater & Parent Information
Skater's Name *
Please enter first name and surname

Address *

Street Address
Street Address Line 2
City	Province
Postal Code	Country

Birth Date *

Month Day Year
Gender *

Female Male
Health Concerns
Please let us know if the skater has any health concerns that the ASC should be aware of.
New Skate Canada Member? *

Yes No
Skater's Skate Canada Number
Enter the skater's Skate Canada Number if known.
Base Coach Name

First Name Last Name
Last Badge/Test Passed
Only needed for new skaters to ASC
Home Club
Enter skater's home club if other than Ayr Skating Club

Parent/Guardian and Emergency Contact Information *

	Name	Home phone	Mobile phone
Parent/Guardian #1
Parent/Guardian #2
Alt. Emergency Contact

Preferred email address *
The primary method of communication between the Ayr Skating Club and our members is email. We send approx. 1-2 emails per month to our membership. The information we send may include (but is not limited to): important program updates, schedule changes, emergency closures, club news, special event information, fundraising activities, registration opening, etc. Some of our messages may be classified as Commercial Electronic Messages under Canada's Anti-Spam Law (CASL). All of our messages are written and sent by a member of our volunteer board (we do not use 3rd parties, marketing companies, or bots to send our communications). We do not sell or share our membership email lists with other parties. We hope that you will provide your consent to receive our email messages but also understand and respect your privacy if you prefer not to. If you do not give consent or withdraw your consent you will be solely responsible for checking the ASC website (www.ayrskatingclub.com) for important program updates, club news, events, etc.

You may update your contact preferences (subscribe or unsubscribe) at any time using our Contact Preferences Update Form. You may also use this form to add additional email addresses in your household to our mailing list. Please note that subscribe/unsubscribe requests may take up to 10 days to process (as they are processed manually by our volunteers). Should you have any questions or concerns, please email us at info@ayrskatingclub.com.
Consent to allow the ASC to add my preferred email address to our mailing list and send me updates regarding club activities, programs, schedules, special events, etc. *

Agree Disagree
Step 2: Program Options and Fees
Program Options *

Pre StarSkate Two days/week: $1200 StarSkate Two days/week: $1200 StarSkate Three days/week: $1500 StarSkate Four days/week: $1800
Note: Coaching fees are included in Pre StarSkate program. For StarSkate, additional coaching fees (paid directly to your coach) are applicable.

Note2: three and four days/week StarSkate programs include access to Daytime Program Ice Sessions. If you wish to use Daytime Ice Sessions, please make arrangements with your coach.
Which days do you plan to skate? (select 2) *

Mondays Wednesdays Thursdays Saturdays
Which days do you plan to skate? (select 3) *

Mondays Wednesdays Thursdays Saturdays
Program Fees $
Skate Canada Registration Fee *

Skate Canada Registration Fee (must be paid each fall): $44 I have already paid a Skate Canada fee this fall with another skating club: $0
Skate Canada $
Ontario Skaters' Promotional Contest booklet *

Ontario Skaters' Promotional Contest booklet (one per family required): $40 I have already included a contest booklet in a previous registration: $0
Promo Book $
Program Sub Total *
Step 3: Volunteer Commitment and Donation
Volunteer Commitment

The Ayr Skating Club (ASC) is a non-profit organization, which relies on volunteers to help run our programs, special events, and fundraising activities throughout the skating year. Our program fees cover only a portion of the cost of our programs and we rely heavily on fundraising throughout the year to keep our programs operating and affordable. All skating families are required to complete a volunteer commitment per skater. Examples of volunteer activities include: bringing treats to theme days (muffins, cookies, pop), chaperone a Youth Dance, donating treats (chocolate bars, pop, chips) or door prizes (gift cards) for a Youth dance, supporting the Ice Show/Gala (preparing the set, set up and tear down on the day of the ice show, selling raffle tickets, selling flowers, chaperoning each skating group during the ice show, etc.), selling an additional Ontario Skaters' Promotional Contest booklet.
Volunteer Commitment Selection *

Pay $25 now as my volunteer commitment for the year Participate in two activities noted above (ASC will contact me at a later date with details)
Volunteer $
Donations

As a not-for-profit organization, the ASC welcomes all voluntary donations to assist with either our club operation or our skater bursary. Donors will be recognized on our website for their generous contribution.
Donation Amount
Donation Direction Preference

Club Operations Skater Bursary No Preference
Volunteer and Donation Sub Total *
Step 4: Payment & Fee Summary
Payment Method *

Email e-Transfer - Full Payment Email e-Transfer - 3 Instalments (Sep 1, Dec 1, Feb 1) Cheque - Full Payment Cheque - 3 Instalments (Sep 1, Dec 1, Feb 1) Visa/Mastercard ( +3% admin fee applies)
Promo Code
If you have a promo code, enter it here.
Credit Card Admin Fee
Promo Discount Applied
Discount
Use ONLY if the Club Registrar has authorized a pro-rated fee due to a mid-season registration or if there is a credit on account. Enter the amount to be DEDUCTED from the total due below. If a discount is applied, your registration will not be valid until reviewed and confirmed by the Club Registrar.
Total Due
Due by Sep 1
Due by Dec 1
Due by Feb 1
Email e-Transfer Payment Instructions (PLEASE read these carefully):
- Log into your banking site and send an email e-Transfer to following email address: treasurer@ayrskatingclub.com
- Use the transfer password: ayrSkating85 if requested by your banking site.
- Please enter the skater’s name(s) in the eTransfer comment field .
- You may send 1 e-Transfer for multiple registrations.
- If paying fully, the ASC must receive your email e-Transfer by Sep. 1 for your registration to be valid. NOTE: If you are registering after programs have started, payment is due immediately.
- If paying by instalments, payment due dates are: Sep. 1, Dec. 1, and Feb. 1 (remember Feb 1 will be next year).
- REGISTRATIONS MAY BE CANCELED OR SKATERS MAY BE DELAYED GETTING ON THE ICE if payments are not received on or before due dates. For insurance reasons, skaters are not permitted on the ice until they are registered with Skate Canada which can only be done after payment is received.
Cheque Payment Instructions (PLEASE read these carefully):
- If paying fully, the ASC must receive your cheque within 2 weeks of your registration submission and no later than 1 week prior to the first day of skating for your registration to be valid. NOTE: If you are registering after programs have started, payment is due immediately.
- If paying by instalments, posted date cheques for: Sep. 1, Dec. 1, and Feb. 1 (remember Feb 1 will be next year).
- Make cheque(s) payable to: Ayr Skating Club.
- An administration fee is $25 will be applied to all NSF cheques and programs may be cancelled or suspended until fees are received.
- REGISTRATIONS MAY BE CANCELED OR SKATERS MAY BE DELAYED GETTING ON THE ICE if payments are not received on or before due dates. For insurance reasons, skaters are not permitted on the ice until they are registered with Skate Canada which can only be done after payment is received.

Step 5: Terms, Consent, Waivers, Releases
Freedom of Information and Privacy Act Consent

In accordance with the Freedom of Information and Privacy Act, I give the Club permission to publish my child’s first and last name and/or photo on arena bulletin boards, trophies, display cases, ice show programs, newsletters, newspapers, website and any other areas pertaining to the "skating world".
Consent to Freedom of Information and Privacy Act Waiver *

Agree Disagree
Liability Waiver and Release

It is understood and agreed, as a condition of participation in skating programs offered by Skate Canada through the Ayr Skating Club ("Club"), that neither the Club nor Skate Ontario nor Skate Canada shall be liable for any injury, loss or damage incurred while traveling to or from, or while participating in skating practices, competitions or other activities, however caused. The member, or his/her parent/legal guardian, who has signed this form, shall indemnify the Club, Skate Ontario, and Skate Canada and hold them harmless from any claims, demands or actions arising from or in respect of such injury, loss, or damage.

In the event of an injury or accident and where the Club is unable to contact the parent/guardian, I/we give permission for the Club/coaches to arrange for medical help. I agree to cover any and all expenses and costs related to the injury/accident.

Conditions

A parent/guardian/baby-sitter must accompany children under 12 during Club programs, but at no time are they permitted on the ice.

The Club reserves the right to change or cancel any program for which there are not sufficient paid registrations.

All fees are non-refundable.

Privacy - Notice of Collection Statement

Your privacy and the protection of your personal information is important to us. Your personal information is required to register you with Skate Canada in any capacity, including, without limitation, as a Skate Canada registrant, coach or in connection with your affiliation with a skating club or skating school and to administer various services, such as Skate Canada events. Your personal information may also be exchanged with Skate Canada affiliates which includes your local skating club or skating school or provincial association or section. By submitting this form, you expressly provide your consent to the sharing of your personal information with Skate Canada and as described herein for purposes of registration and receipt of national services delivered by Skate Canada. We adopt the 10 Fair Information Principles into our privacy program, and employ reasonable measures to protect against unauthorized access, processing, disclosure, alteration, destruction or loss of your personal information. See Skate Canada's Privacy Policy for more details.

For further information or comments regarding our protection of your privacy, please contact Skate Canada at safesport@skatecanada.ca.
I have read and understood the terms, conditions, liability waiver and release, and privacy statement above. *

I Agree (required)
Notes/Comments
Let us know if there is anything else you want us to know about this registration.
Should be Empty:

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

ASC Registration - Pre/StarSkate Program

Step 1: Skater & Parent Information

Step 2: Program Options and Fees

Step 3: Volunteer Commitment and Donation

Volunteer Commitment

Donations

Step 4: Payment & Fee Summary

Step 5: Terms, Consent, Waivers, Releases