Muskegon Learn to Skate Registration Form
You may mail check or bring payment to the first class. Registration fee is valid until June 30th 2019

***Cash or Check ONLY***

*5 year old program includes one free session. It will require a copy of birth certificate and Registration Fee (valid until June 30th 2019)

-No double blades
-No confirmations sent
-Rental Skates included for program

Email address *
First Name *
Your answer
Middle Name *
Your answer
Last Name *
Your answer
Address *
Your answer
City, State, Zip Code *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
Sex *
Birthday *
Your answer
US Citizen *
Age *
Your answer
Email *
Your answer
Emergency Contact *
Your answer
Allergies *
Your answer
Any other note you would like to add
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Please select one *
Session Enrolling In (Note CHANGE - 5 year old program includes one free session. It will require a birth certficate and registration fee valid until June 30th 2019) *
Check payable to: MLFSC. Mailing address: Muskegon Lakeshore FSC, 4470 Airline Rd, Muskegon, MI, 49444
How did you hear about Learn to Skate?
Your answer
Waiver *
By placing my initials, I agree to the terms and conditions of this waiver. Acknowledging that ice skating can be hazardous, I agree that Muskegon Lakeshore Figure Skating Club, its agents, servants and employees shall not be liable to me (my child) for any injury or damage, howsoever caused, resulting directly or indirectly from me (my child’s) participation in ice skating, whether incurred on the ice or otherwise in or about the building at any time preceding during or subsequent to the delivery of the program and I hereby discharge Muskegon Lakeshore Figure Skating Club, its agents, servants, and employees from all actions, claims, and demands in regards to me (my child) for any injury and damage, howsoever caused, incurred in or about the residence of buildings at any time during the term of the program. I also understand and agree that no portion of my (my child’s) registration fee will be refunded to me (my child) in the event, for whatever reasons, I (my child) withdraw from the Lakeshore Basic Skills Program. I further acknowledge and agree that Muskegon Lakeshore Figure Skating Club does not insure and will not be expected at any time, to insure the safety or the proper state of repair of my (my child’s) equipment used by me (my child) during the program and that Muskegon Lakeshore Figure Skating Club does not, and shall not, be considered to guarantee or warrant the program material used by it during the program. I also acknowledge and agree that Muskegon Lakeshore Figure Skating Club reserves the sole and exclusive right to use any photographs taken during the program for advertising and/or instructional purposes, without cost or charge whatsoever to Muskegon Lakeshore Figure Skating Club. I also understand that my agreements, releases, and discharges herein shall bind my heirs, legal representatives and assigns and shall inure to the benefit of Muskegon Lakeshore Figure Skating Club, its agents, servants and employees, and their successors and assigns.
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