2024-2025 SFSC GUEST REGISTRATION FORM

2024-25 Guest Skater Registration

**Please update each year
Skater's Name*

First NameLast Name
USFSA Number*
DOB*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Club*
School District
Phone #*

Area CodePhone Number
Email*
example@example.com
Parent / Guardian (if under 18)*

First NameLast Name

U.S. Figure Skating Tests Passed

Please indicate the highest test level passed to date for each category
Free Skate*
Moves in the Field*
Dance*
Pairs*

Guest Skater Waiver
WAIVER: In consideration of the privilege of using Syracuse Figure Skating Club, Inc. figure skating sessions as described in club and Three Rivers Athletic Complex or other host rink literature and being made available for use by the members of the Syracuse FSC, Inc, I (we) accept full responsibility for any accident which may occur in connection with such use and any other club-related activities and do hereby covenant with the Syracuse FSC, Inc., its officers and directors, agents and employees from any and all claims which may arise in connection with any (our) use of ice time established for the use of the Club’s membership and for any other activities conducted by the Club in association with the Three Rivers Athletic Complex. and/or other related parties, including the Three Rivers Athletic Complex, Inc. and Lysander Youth Hockey Inc DBA Three Rivers Athletic Complex on this date or any date in the future.*

I have read, understood, and accepted the terms & conditions of the above Syracuse FSC Guest Skater Waiver
Consent for Medical Attention or Treatment
This consent for Medical Attention shall be binding and effective for the current membership year of the Syracuse Figure Skating Club, Inc. Please check one of the following:*

I certify that I, the member, or I, the parent/guardian of said participant, give my consent to the Syracuse Figure Skating Club, Inc., and the facility the activities are taking place in and their staff, and to members of the Syracuse Figure Skating Club, Inc., their Board of Directors and volunteers to obtain medical care from any licensed physician, hospital or clinic, including transportation and emergency medical services, for myself/ourselves and/or said participant for any injury that could arise from participation in these activities.I/we do not give consent for medical attention or treatment. In doing so, I/we understand that medical treatment is my/our responsibility. (If choosing this option then a responsible adult must be on the premises with your minor child at all times.)
Ice Etiquette & Safety Guidelines
Should be Empty:

2024-25 Guest Skater Registration

U.S. Figure Skating Tests Passed

Guest Skater Waiver

Consent for Medical Attention or Treatment

Ice Etiquette & Safety Guidelines