2019 Fall Star 1 & 2 Program

2019 Fall Skating Program

Star 1 & 2, Preston Aud

To Register for the Program, please complete the form below and submit.

6 - 425 Hespeler Road, Suite # 322, Cambridge, ON, N1R 8J6

519-624-4532, info@skatectc.com

Skaters Name: *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number *

Area Code Phone Number

E-mail *

example@example.com

Skate Canada Membership Number: *

Parents Name: *

First Name Last Name

Childs Birth Date *

Month Day Year

Session & Day Information:

Discounted Fees: *

Wednesday Morning Sessions $ 135.91 CAD

Friday Morning Sessions $ 135.91 CAD

Monday Sessions $ 154.11 CAD

Tuesday Sessions $ 145.32 CAD

Wednesday Sessions $ 154.84 CAD

Thursdays Sessions $ 139.55 CAD

Saturday Sessions $ 154.84 CAD

Enter coupon

Subtotal $ 0.00 CAD Tax $ 0.00 CAD Total $ 0.00 CAD

Number of Private Lessons Requested:

per week

Additional Comments:

The Fall Program is held at the Preston Auditorium.
Class dates: September 3rd to October 7th, 2019.
First Come, First Serve Basis. Please register early to receive the sessions you want.
Star 1 & 2 skaters are required to register for a minimum of two full packages.
Private lessons are billed separetly.
All skaters are required to have a home club.
The SC Membership form will be due at a later date..
To receive the discount please register prior to July 12th, 2019. Fees will be increased after that date.

Informed Consent and Acknowledgement

I, the undersigned accept full financial responsibility for this application form. I understand that there will be no refunds of deposits or due balances after the deadline dates. I agree that Huston, Wheeler & Wheeler Skating Schools (KLFSS Inc) will not be held responsible for any accidents or loss, however caused and agree to release indemnity and save harmless the Huston, Wheeler & Wheeler Skating Schools (KLFSS Inc) from all damage or claims as a result of such accidents or loss. I agree my child / ward will abide by the rules and regulations of the Champions Training Centre of Cambridge {KLFSS Inc} as set by the directors. Any disregard for these rules will result in the removal of the Skater from our skating program without refund of any fees paid.

Confirmation
BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.

Signature: *

Parents Signature: Clear

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