KWSSSC 2020 Summer Ice Registration Form
This is the official registration form for the 2020 Summer Ice program of the Kitchener Waterloo Sertoma Speed Skating Club (KWSSSC).
We ask that you please take time to fill out the form accurately and thoroughly.
This form must be filled out once for each skater wanting to join the summer program.

NOTE: You must have permission from your coach and the KWSSSC summer ice coaches to skate this program.

If you haven't already secured permission to skate in this program, please send an email to coach@kwspeedskating.com requesting permission to participate. If you are a skater from another club, you must also have permission from your club coach to participate in our Summer Ice program.

These are the summer ice program dates. Please note the changing times due to ice availability at RIM Park:
Monday April 27 - 7-9pm
Monday May 4 – 5-7pm
Monday May 11 – 5-7pm
Monday May 25 – 5-7pm
Monday June 1 – 4-6pm
Monday June 8 – 4-6pm
Monday June 15 – 4-6pm
Monday June 22 – 4-6pm
Monday June 29 – 4-6pm
Monday July 6 – 4-6pm
Monday July 13 – 4-6pm
Monday July 20 – 4-6pm
Monday July 27 – 4-6pm
Monday August 3 – 4-6pm (Civic Holiday. TBC based on attendance)
Monday August 10 – 4-6pm
Monday August 17 – 4-6pm
Monday August 24 – 4-6pm
Monday August 31 – 4-6pm

Dryland will follow each on-ice session provided that the weather and coaching availability allows.
Email address *
Please Note: the Email Address provided above should be the preferred email address of the main contact of the Family to which the Skater belongs. This email address should not belong to a minor.
Skater's First Name *
Your answer
Skater's Last Name *
Your answer
Name of the person filling out this Registration Form *
Your answer
Skater's Home Club *
Your answer
Skater's Birthdate *
MM
/
DD
/
YYYY
Skater's age as of July 1, 2020 *
Your answer
Skater's Street Address (please include Unit number if applicable) *
Your answer
Skater's City of Residence *
Your answer
Skater's Postal Code *
Your answer
Skater's Family's Preferred Phone # *
Your answer
This Skater has permission to skate at the KWSSSC Summer Ice program from their head coach and the KWSSSC coaches. *
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