POP UP Skate Seminar Registration
Day of Event: Friday November 23, 2018
SKATER DROP OFF 8:30 am-9:00am | SKATER PICK UP 1:00 pm - 1:30pm
SCHEDULE TO FOLLOW - ON Ice & OFF Ice Programming 9 am - 1pm

Event Address: Elmvale Community Arena
14 George Street
Elmvale, ON L0L 1P0

Contact us: elmvaleskatingclub.com
elmvaleskatingclub@gmail.com
Club President - Adrienne Callan (705) 305.0966

Your Name *
Your answer
Email *
Your answer
Phone # *
Your answer
Skaters NAME *
Your answer
Birthdate *
MM
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DD
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YYYY
Home Club *
Your answer
Coaches Names - Add all that apply *
Your answer
What session do you skate at your home club? *
Check all that apply - I can land these jumps 100% of the time *
Required
What is the last Dance test you passed *
Your answer
How did you find out about this seminar? *
What are you hoping to get from this seminar - check all that apply *
Required
I agree to hold unaccountable the Elmvale Skating Club, participating Coaches, Off Ice Instructors or other persons involved in this event for injuries or loss sustained by the skater named above while attending the seminar. I agree to abide by the Rules and Regulations set forth by Skate Canada | Skate Ontario and the code of conduct. *
Required
I agree, and give permission for the Elmvale Skating Club (or event organizers) to photograph and/or video me during the event to use in all forms of media for promotional purposes including advertising, display, exhibition or editorial. *
Once completed - this form will be submitted for registration. No refunds will be issued unless event is cancelled. E.transfer $70 (early bird fee) to elmvaleskatingclub@gmail.com to secure your spot for the event. Please use elmvale as your security answer *
I wish to receive information about future seminars or other special events. Please add me to your mailing list *
Thank you for registering. We are excited to see you!
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