Muskegon Lakeshore Figure Skating and Junior Jacks Hockey Learn to Skate Registration Form
Please bring payment to the first class. Registration fee is valid until June 30th 2019

ALL CLASSES ARE HELD AT
LC WALKER ARENA
955 Fourth Street
Muskegon, MI 49440


-No double blades
-No confirmations sent
-Rental Skates $3.00

Email address *
First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
City, State, Zip Code *
Your answer
Home Phone *
Your answer
Sex *
Birthday *
Your answer
US Citizen *
Age *
Your answer
Emergency Contact *
Your answer
If You are a returning skater and have a friend who is registering please list your friends name below for your discount.
Your answer
Please select one *
Session Enrolling *
Check payable to: MLFSC (Muskegon Lakeshore Figure Skating Club)
*
Skate size if needing rental *
Your answer
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.
Your answer
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