DC-ICE Skating (SY 2023-24)
Register here for DC-ICE Club and After-School Skating. Program details shared via email prior to start. 
Sign in to Google to save your progress. Learn more
First Name(s) *
Last Name *
Phone Contact *
(during program hrs.)
School *
(SY 2023-24)
Email Contact *
(Use age of Youngest child; NOTE: must be at least 1st grade SY 2023-24)
Male/Female *
Session(s) *
NOTE: Spring location Watkins ES Rush Rink
Day(s) of the Week *
Skaters can add or change days via email, or make up missed days on any other day.  
Transportation Service
**TENTATIVE**  Check if you REQUIRE pick-up or home drop-off to participate - additional fee.  
 [Note: Van service is not guaranteed - Please email us with any transportation questions.]
Home Transportation Service - Address
If you require home transportation service, please let us know drop-off address.   Driver will confirm via text or phone within 24 hrs. prior to initial scheduled drop-off. Pay driver directly - payment info shared via email.
Skate Size
(NOTE: we aim to outfit all DC-ICE Club skaters with inline and/or ice skates; please plan to purchase safety gear for inline skating - helmet and wrist/knee/elbow pads.  Email us for guidance)
Skating Experience
Health/Other Considerations
Is there anything else we should know that might affect your child's experience in our program?
Program Waiver & Consent *
I certify that I am the person named below or the authorized parent or guardian of the child named below.  I hereby agree to waive liability and hereby release any and all claims against DC Inner City Excellence (DC-ICE), its officers, employees and agents for injuries and damages of any nature whatsoever suffered by myself (and/or my child 18 years old or under, on whose behalf I am signing) in conjunction with any ICE program, whether on or off the skating surface and no matter whether arising in tort, contract or otherwise.  If DC-ICE is found liable for injuries or damages, I agree that my sole and exclusive remedy will be against DC-ICE and not against any individual, regardless of fault.  I acknowledge that ice and inline skating and other physical activities at camp involve risk of serious bodily injury.  I fully accept and assume all risks and all responsibility for all losses and damages incurred as a result of my participation and for my child’s participation in these activities.
Fee & Payment information 
Fee due first week, half or full payment: Payment info/instructions will be in your informational email. 
Clear selection
Clear form
Never submit passwords through Google Forms.
This form was created inside of Inner City Excellence (ICE). Report Abuse