Sub Ice Application
Skater Name
Your answer
Skater USFS #
Your answer
Address
Your answer
Home Phone
Your answer
Emergency Phone Number
Your answer
Date of Birth
MM
/
DD
/
YYYY
Email
Your answer
Parent's Name (if applicable)
Your answer
Parent cell # and email (if applicable)
Your answer
Home Club
Your answer
Coach and Coach email
Your answer
Highest USFS test passed as of August 1, 2020
Your answer
Which sessions?
Sunday 7 am - 8:15 am November 8 - December 20 2020. $220
Monday 3:40 - 5:40. November 30 2020 - February 22 2021. $640
both sessions - $860
Associate members add $50
Option 1
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Total Amount Due:
Your answer
I have reviewed the session details. Please make checks payable to Rye FSC and mail to Rye FSC, P.O. Box 687, Rye, New York 10580
Your answer
Waiver and indemnity will be sent separately or can be signed at the rink with the ice monitor.
Please send me a waiver and indemnity and I will print and mail.
I will sign a waiver and indemnity form at the rink.
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