DATE: Sunday, October 13th
TIME: 12 - 3 PM
OFF-ICE LOCATION: 64 Joy St, Somerville, MA
ON-ICE LOCATION: Veterans Memorial Ice Arena, 570 Somerville Ave, Somerville, MA

Name *
Your answer
Email *
Your answer
Phone Number *
Your answer
Skaters Age *
Your answer
Is the Skater under the age of 18? *
If you are under 18, please write in your parent's name and a contact email address for them below. *
Your answer
What level is the skater? *
Your answer
What club is your skater associated with? *
Your answer
Name of Coach *
Your answer
Does your coach know that your skater will be attending this AIT seminar? Please inform your coach. *
Agreement & Release
I understand that American Ice Theatre [AIT] its officials, employees and agents, officers, directors its subsidiaries cannot be responsible for any injuries or damage suffered by my participation in the AIT WORKSHOPS (AITW). With this knowledge, I consent to my participation in the PROGRAM. I further consent to my participation in choreography assignments and any other activity in connection with this program. I agree that I or anyone I enlist in connection with his program will not institute any legal action or assert any claim against AIT for any injury or damage experienced during the PROGRAM. I am in full understanding of, and will comply with policies as set forth by AIT Directors. All students are expected to conform to the PROGRAM’S policies, and conduct themselves in a disciplined, responsible and courteous manner at all times. I understand that AIT teachers reserve the right to suspend or dismiss any student whose attitude, attendance or conduct is found to be unsatisfactory. I understand that while in the AIT tm WORKSHOPS, photographs or videotape of my image may occur. I hereby consent to my image and name being used by AIT and(presenters) for commerce, business, educational and/or entertainment purposes, without limitation. Also, Jodi PorterCompany LLC / AIT may use the information or testimony I provide to the organization for similar purposes, without restriction. I also agree never to conduct educational programs i.e. classes, seminars, webinars, workshops etc. based on the concepts of AIT without express written permission of founder, Jodi Porter.
The cost is $40 for the seminar -- or $30 if you bring a new friend! You must pay for your registration through PayPal to OR pay in person at the event. * *
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