Offered by 7 Rivers Figure Skating Club

Learn to Skate Program

Offered by 7 Rivers Figure Skating Club Sparta Ice Center – Sparta, WI Session 1: October 9, 2017 – December 11, 2017

Skater’s Name: ______Age: ______

DOB: ______

Parent/Guardian(s) Name: ______

Phone #s Home: ______Cell: ______

Address: ______

Email: PLEASE PRINT ______

Schedule Mondays 5:45 – 6:15 and 6:15-6:45pm October 9 – December 11 (10 classes) Session Fee: $35.00 (Includes required US Figure Skating Association Membership)

TOTAL: ______

Please make checks payable to: 7RFSC

Please return registration forms in person at Sparta Rink: No later than Monday October 9th –or- by mail to: 7RFSC PO Box 134 Tomah, WI 54660 – or – by email to the address below

Email questions to [email protected] or [email protected]

The undersigned agrees to abide by all the rules and policies of 7RFSC and the USFSA including but not limited to registration, code of conduct, waiver of liability, and membership.

Signature of Parent/Guardian______Date______

Registration Policy: All skaters must be either USFSA Full or Basic Skills Members to participate in 7RFSC programs and/or use 7RFSC ice time. No refunds are given after the registration deadline unless approved by the board of directors. All skater debts to club(s) must be paid before ice time is used. If enrollment deems necessary, class times may be altered. Unused sessions do not carry over to future sessions.

Date payment received: ______Form of Payment ______Check #______