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
Club President - Adrienne Callan (705) 305.0966
Coaches Names - Add all that apply
What session do you skate at your home club?
Canskate Level 5 or 6
I have no idea
Check all that apply - I can land these jumps 100% of the time
Flip Jump and/or Lutz
Double Salchow and/or Double Toe
Double Flip and/or Double Lutz
Any TRIPLE jump
What is the last Dance test you passed
How did you find out about this seminar?
My coach suggested it
My skating club posted the flyer
Social Media | Facebook or Instagram
My friend was going
What are you hoping to get from this seminar - check all that apply
Meet new skaters & coaches
Learn new skills and techniques
Keep busy on a PA day
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.
YES - I agree
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.
YES - I agree and give consent for the event to take my photograph
NO THANK YOU - I would prefer my image not be used
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
to secure your spot for the event. Please use elmvale as your security answer
YES - I will send an etransfer now
I wish to receive information about future seminars or other special events. Please add me to your mailing list
NO thank you
Thank you for registering. We are excited to see you!
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