2021 New Year Camp Registration

REGISTRATION STEPS:
1.FILL OUT AND SUBMIT Summer 2020 WAIVER AND REGISTRATION FORM
2.PAYMENT WINDOW WILL APPEAR ONCE REGISTRATION FORM IS SUBMITTED
3.PAY FOR DESIRED CLASSES

Skating for hockey agility
2021 NEW YEAR
waiver and REGISTRATION form

THIS REGISTRATION FORM MUST BE SUBMITTED FIRST AND IS MANDATORY FOR YOUR CHILD TO PARTICIPATE.
PAYMENT WINDOW WILL APPEAR ONCE FORM IS SUBMITTED.

I am aware this form does not reserve my spot without online payment. *

check to confirm

* Indicates required field

Player Name *

First

Last

Player Date of Birth. M/D/Y *

Parent Name *

First

Last

Parent Phone Number *

Second Phone Number *

Parent Email *

Parent Email #2 *

Level *

Current Playing Level *

Select Classes *

MONDAY, TUESDAY & WEDNESDAY DOB 2009-2013 Block MONDAY, TUESDAY & WEDNESDAY DOB 2002-08 Block

REFUND POLICY: There are no make-ups or refunds for any reason for missed or unused classes. I read and accepted the refund policy. Sign your Name *

RELEASE AND WAIVER OF LIABILITY: The participant agrees that Yevgeny Martynov, Skating for Hockey Agility, Creative Ice Skating Inc, participating facilities will not be responsible for any accidents or loss. I am aware that participating in such program involves several inherent risks of physical or emotional injury, paralysis, and death. I accept full responsibility for paying any medical or associated expenses that I may occur while participating in the program. I understand how it is important to follow instructions regarding training, safety and other rules. I acknowledge that even if I follow all directions and exercise utmost care there will remain a certain irreducible inherent risk participating in the program, and I accept that risk. I further agree to obey any and all rules and regulations, and to follow specific instructions given by Yevgeny Martynov. I ALSO ACKNOWLEDGE AND FULLY UNDERSTAND THAT I (and/or child) CANNOT PARTICIPATE IN ANY ACTIVITIES IF I (and/or child) HAVE RECENTLY SUFFERED FROM ANY FEVER, SORE THROAT, VOMITING, DIARRHEA, OR ANY OTHER COMMUNICABLE SYMPTOMS OR HAVE BEEN EXPOSED RECENTLY TO SOMEONE WITH THESE SYMPTOMS. I FURTHER ACKNOWLEDGE THAT OTHER PARTICIPANTS IN THESE ACTIVITIES MAY BE INCUBATING DISEASES INCLUDING COVID-19, AND MAY BE CAPABLE OF SPREADING DISEASE TO OTHERS. I have had sufficient opportunity to read this entire document. I understand it and I agree to be bound by its items. Sign your Name *

First

Last

I confirm that form is true and correct *

Confirm

Comment *

Submit

REGISTRATION STEPS:1.FILL OUT AND SUBMIT Summer 2020 WAIVER AND REGISTRATION FORM2.PAYMENT WINDOW WILL APPEAR ONCE REGISTRATION FORM IS SUBMITTED3.PAY FOR DESIRED CLASSES

Skating for hockey agility​2021 NEW YEARwaiver and REGISTRATION form

THIS REGISTRATION FORM MUST BE SUBMITTED FIRST AND IS MANDATORY FOR YOUR CHILD TO PARTICIPATE.PAYMENT WINDOW WILL APPEAR ONCE FORM IS SUBMITTED.

REGISTRATION STEPS:
1.FILL OUT AND SUBMIT Summer 2020 WAIVER AND REGISTRATION FORM
2.PAYMENT WINDOW WILL APPEAR ONCE REGISTRATION FORM IS SUBMITTED
3.PAY FOR DESIRED CLASSES

Skating for hockey agility
2021 NEW YEAR
waiver and REGISTRATION form

THIS REGISTRATION FORM MUST BE SUBMITTED FIRST AND IS MANDATORY FOR YOUR CHILD TO PARTICIPATE.
PAYMENT WINDOW WILL APPEAR ONCE FORM IS SUBMITTED.