Out-of-School Camp (SY 2022-23)
Register here for Out-of-School full-day skating camp.  Program operates on most no-school days.  
[Register once for the school year; email us to add/subtract dates.]
Sign in to Google to save your progress. Learn more
First Name(s) *
(Child)
Last Name *
(Child)
Phone Contact *
(during program hrs.)
Email Contact(s) *
(program info and notices)
School
(SY 2022-23)
DOB *
(Skaters must be in at least 1st Grade)
MM
/
DD
/
YYYY
Male/Female *
Required
Select Fall Date(s) *
Register for upcoming Out-of-School Camp date(s):  Dates can be dropped or added via email.  
[Note: Winter ICE  Camp registration via http://dc.innercityexcellence.org/camp/winter]
Required
Time Block
AM drop-off from 8:45.  PM pickup by 3:15.  [Note:  PM Ext Day is at Watkins Rec on Capitol Hill]
Transportation Service
**TENTATIVE AVAILABILITY -- Contact Driver**   AM pick-up (after 8:00a) or PM drop-off  (after 3:00p) - additional fee:$10/$20, by location (one-way) - Pay driver directly: 202.465.9902 (Mr. Muhammad)
Transportation Service - Address
If you are doing home transportation service, please let us know pick-up and/or drop-off address.   Driver will confirm via text or call within 48 hrs. prior to scheduled pick-up/drop-off.
Health / Other
Is there anything we need to know that may affect your child's experience at ICE Camp? (I.e., allergies; medications, etc.)
Skating Experience
Skates provided, if needed (Also: helmet, knee/elbow pads, wrist guards)
Shoe / Skate Size
Skates provided, if needed (Also: helmet, knee/elbow pads, wrist guards)
Fee / Payment Info (Winter 2023)
Payment is due on program day, Venmo (@DC-ICE), Check (payable to 'DC-ICE'), or cash (in envelope)
Program Waiver & Consent *
I certify that I am the person named below or the authorized parent or guardian of the child named below.  I hereby agree to waive liability and hereby release any and all claims against DC Inner City Excellence (DC-ICE), its officers, employees and agents for injuries and damages of any nature whatsoever suffered by myself (and/or my child 18 years old or under, on whose behalf I am signing) in conjunction with any ICE program, whether on or off the skating surface and no matter whether arising in tort, contract or otherwise.  If DC-ICE is found liable for injuries or damages, I agree that my sole and exclusive remedy will be against DC-ICE and not against any individual, regardless of fault.  I acknowledge that ice and inline skating and other physical activities at camp involve risk of serious bodily injury.  I fully accept and assume all risks and all responsibility for all losses and damages incurred as a result of my participation and for my child’s participation in these activities.
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Inner City Excellence (ICE). Report Abuse
Google Forms