Summer Dreams 2023 Registration Form

Summer Dreams 2025 Registration Form
FSD Summer Dreams Commitment

Attention: We are now at capacity and have a waiting list. Please complete the form and we will contact you if an opening is available. Thank you.

Summer Dreams 2025 is a FREE 4 week summer day program running (M-F) July 7, 2025 through August 1, 2025, 8:00am-3:00pm. One hour Latchkey before and after will be offered. This summer includes reading and math instruction, Figure Skating, STEAM, Off ice fitness, Entrepreneur activities, Girl Power workshops and field trips! Participants are expected to attend every day for the 4 weeks in order to benefit from the program. Excessive absence may result in dismissal from Summer Dreams programming. On time parent pickup is a must.

Participants will recieve a continental breakfast, healthy snacks and lunch each day. Please share if your girl has allergy restrictions.

Transportation to rink site and field trips will be provided. All skate rentals are included.
Please type your initials to confirm you understand the commitment required.*
Is your family new to Figure Skating in Detroit?*

No, we participated in ICE Fall 2024No, we participated in Summer Dreams 2024No, we participated in a past seasonYes, we are new to FSD
We're so glad you're here! How did you hear about Figure Skating in Detroit?

Community EventSchoolSocial MediaWebsiteWalk-InCurrent/Past ParticipantCurrent/Past Staff Member/VolunteerOther
If a specific person or event, please tell us who so we can thank them!
Has your girl participated with another Ice Skating program? If yes, please list the name of the organization.
Household Information
Parent/Guardian 1

Please fill out the information below about Parent or Guardian 1. Participants must live with this parent/guardian.
Guardian 1 Name*

First NameLast Name
Relationship to Participant*
Please specify
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
Email is our primary way to send announcements and other important information!
Cell Phone Number*

Area CodePhone Number
Additional Phone Number

Area CodePhone Number
What type of phone is this?
Preferred Language

EnglishSpanishFrenchOther
Highest Level of Education*

Some high schoolHigh school graduateSome collegeCollege graduateGraduate schoolPrefer not to answerOther
Employer
Position
Parent/Guardian 2 Information

Please fill out the information below about Parent or Guardian 2 if available
Guardian 2 Name

First NameLast Name
Relationship to Participant
Please specify
Address (if different than Parent/Guardian 1)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Cell Phone Number

Area CodePhone Number
Additional Phone Number

Area CodePhone Number
What type of phone is this?
Preferred Language
Highest Level of Education

Some high schoolHigh school graduateSome collegeCollege graduateGraduate schoolOther
Employer
Position
Demographic Information

This information is used only for reporting purposes about the makeup of the participants in the organization and for internal use related to tuition and enrollment. Individuals' information is not shared with anyone outside FSD.
Household Income in 2024*
How many people live in the participant's household?*
How many of the people living in the participant's household are adults?
Participant Information
How many participants are you enrolling?*

Emergency Contacts

In case the parents/guardians cannot be reached, please list at least one additional adult.
Name*

First NameLast Name
Relationship to Participant*
Cell Phone *

Area CodePhone Number
Additional Phone

Area CodePhone Number
Name

First NameLast Name
Relationship to Participant
Cell Phone

Area CodePhone Number
Additional Phone

Area CodePhone Number
Name

First NameLast Name
Relationship to Participant
Cell Phone

Area CodePhone Number
Additional Phone

Area CodePhone Number

Waiver and Release
Acknowledging that participation in athletics carries with it the risk of personal injury or illness (including COVID-19 as described below), I, on behalf of myself, the participant, my heirs, assignees, personal representatives, and next of kin, agree that Figure Skating In Detroit, Inc. ("FSD") or any other sponsoring organization, its officers, employees, volunteers, sponsors and/or agents (collectively, with FSD, the "Releases"), shall not be liable to me or my child for any injury, illness, or damage, however caused (including as a result of negligence, but excluding gross negligence), resulting directly or indirectly from my child's participation in FSD programs at any time preceding, during or after programs are in session, and I hereby discharge the Releases from all actions, claims and demands, I or the participant, my heirs, assignees, personal representatives, and next of kin, have for any such injury, illness or damage.

As of the date of this agreement I understand and agree that participating in the FSD programs carries the possibility of exposure to the Coronavirus (COVID-19). By attending the program, I agree that I am assuming on my behalf and on the behalf of the participant, the risk of potential exposure to the Coronavirus (COVID-19) and any and all consequences that may result from such exposure, including but not limited to, transmission of the virus, physical injury, psychological injury, pain, suffering, illness, temporary or permanent disability, death, or economic loss. I agree to release and forever discharge the Releases as described above.

I agree and warrant that my program participant will not participate in in-person programming if she experiences symptoms of COVID19, including, without limitation, fever, cough or shortness of breath, or has a suspected or diagnosed/confirmed case of COVID-19.

I agree to notify the Management immediately if I believe that any of these symptoms arise.

I also give FSD the right to use all photographs or videos taken of my child during FSD sessions for advertising or promotional material in its original or modified form, without any entitlement to compensation, in all media now or hereafter known, with or without name attribution.

I agree that all of the information provided above is true and correct.
Name*

First NameLast Name
Signature*

Clear
Date*

MonthDayYear
Date
Consent for Medical Treatment
I do hereby affirm that all of the above information is complete and correct and that my child is fully able to participate in all

FIGURE SKATING IN Detroit activities without need of individual or specialized attention or medical regimen. I agree to notify Figure Skating in Detroit of any changes in my child’s physical or mental health between the dates of registration and the start of classes as well as during the season. I hereby consent and authorize the administration of all medical treatments advisable or necessary under the judgment of emergency room physicians or any other clinical physicians with the understanding that I will be notified as soon as possible.
Name*

First NameLast Name
Signature*

Clear
Date*

MonthDayYear
Date

Additional Forms
Please upload a current year medical form completed by a physician. Participants are not allowed to skate without an updated medical form.

Browse Files

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Your physician can complete this medical form or you can provide a copy of the same document you give to the participant's school. Please email completed medical form to pkennebrew@figureskatingindetroit.org and place child's name in the subject box.

Participant & Parent/Guardian Agreements
FSD Participant's Letter of Commitment
I understand that being a participant in Figure Skating in Detroit is a privilege and I will have to work hard all summer long to grow as a student in academics and a skater on the ice.

In order to be a strong member of the FSD community, I promise:
- To live up to the high expectations set for me by the FSD staff and my family
- To come to programming on time and prepared to participate every day
- To make sure I have a responsible adult ready to sign me out on time every day
- To come wearing [the appropriate clothing] so that I can have a successful day.
- To fuel my body by eating a healthy breakfast. Lunch and snack provided by FSD. No outside food will be brought in.
- To leave distractions like cell phones, electronics, gum, and junk food at home or allow them to be collected before programming.
To try my best in every activity and have fun!! I am looking forward to an exciting summer with FSD and expect that this will be a safe place for me to come so that I can make friends, learn new skills, and have fun.

I understand that if I choose to demonstrate behaviors that are unsafe or disrespectful to adults or other students that I will have to accept the consequences which may include being sent home, having a meeting with my parents, or even being asked to leave Summer Dreams.

I also understand that if I am not committed to the academic and enrichment program and make choices that compromise me producing my best work, I will have consequences and may not be able to skate that day.

I am excited to have a great summer camp experience with FSD. By signing below, I promise to do my best to live up to all of the expectations above.
Participant(s) Name(s)*
Signature*

Clear
Date*

MonthDayYear
Date
Parent/Guardian Expectations
1. Rules and Regulations: Parents/Guardians are expected to read and familiarize themselves with FSD rules and regulations. Parents/Guardians are expected to review the rules with their daughter(s).
2. Medical Release Forms: Parents/Guardians are expected to turn in their daughter’s medical release form prior to the start of Summer Dreams. Students will not be permitted to skate if FSD does not have a medical form completed in the last year on file.
3. Snacks: Healthy snacks and lunch will be provided by FSD. Parents/Guardians, if you choose to provide a healthy lunch each day for your daughter to bring,please do not bring fast food for your daughter(s). FSD staff reserve the right to confiscate candy and other junk food which does not give athletes the fuel they need to participate.
4. Equipment: Skates will be provided for participants during Summer Dreams and will remain at the rink. Parent must provide a helmet for skating.
5. Drop Off and Pick Up: Parents/guardians/authorized adults are expected to drop off their daughter(s) on time and pick them up on time (as outlined in the FSD handbook). Parents/guardians may not remain in the academic or skating facility while classes are in session.
6. Late Pick-Up Policy: Parents/Guardians/Authorized Adults arriving more than 15 minutes after the designated dismissal time (at either the rink or workshop location) are subject to dismissal from Summer Dreams.You must contact staff immediately.
7. Sign Out: Parents/Guardians/Authorized Adults are required to sign out participant(s) before leaving the site. Participants will not be released unless an authorized adult is physically present! Please do not send in an older sibling/family member not on the authorized list to retrieve participant. No exceptions.
  
  I have read these expectations and agree to all of the above requirements for my child’s participation with FSD. I understand Figure Skating in Detroit is an education and skating enrichment program, not a competitive skating program. I agree to support FSD’s expectations and goals for my daughter as she works with the staff to build a positive self-image, self-discipline, teamwork, leadership and academic achievement.
Name*

First NameLast Name
Signature*

Clear
Date*

MonthDayYear
Date

Summer Dreams (SD) Tuition Policy

Summer Dreams 2025 Tuition is Free.
Should be Empty:

	Yes	No
Any disability or chronic/recurring illness?
Any activities from which they should be restricted?
Asthma?
Glasses
Hearing Impairment?
Allergies
An Epipen?

	Yes	No
Any disability or chronic/recurring illness?
Any activities from which they should be restricted?
Asthma?
Glasses
Hearing Impairment?
Allergies
An Epipen?

	Yes	No
Any disability or chronic/recurring illness?
Any activities from which they should be restricted?
Asthma?
Glasses
Hearing Impairment?
Allergies
An Epipen?

	Yes	No
Any disability or chronic/recurring illness?
Any activities from which they should be restricted?
Asthma?
Glasses
Hearing Impairment?
Allergies
An Epipen?

Summer Dreams 2025 Registration Form

Household Information

Parent/Guardian 1

Parent/Guardian 2 Information

Demographic Information

Participant Information

Authorized Pickup

Emergency Contacts

Waiver and Release

Consent for Medical Treatment

Additional Forms

FSD Participant's Letter of Commitment

Parent/Guardian Expectations

Summer Dreams (SD) Tuition Policy