Out-of-School Camp Registration (SY 2019-20)
Register here for our full-day out-of-school camp. Skaters only need to register once for the entire school year. (Email subsequently us to add/subtract dates)
* Required
First Name(s)
*
(Child)
Your answer
Last Name
*
(Child)
Your answer
Phone Contact
*
(during program hrs.)
Your answer
School
(SY 2019-20)
Your answer
Email Contact(s)
*
For program info and notices
Your answer
DOB
*
(Skaters must be in at least 1st Grade)
MM
/
DD
/
YYYY
Male/Female
*
Female
Male
Required
Select SPRING Date(s)
*
Register for Out-of-School date(s): If you regsitered for other dates earlier this year, just email us to add another date. [NOTE: Registration for Summer ICE Camp opens May 1, locations TBD]
Fri. May 22 (DCPS) - TBD
Other:
Required
Ext. Day Option
Let us know if you need Ext. Day coverage (additional fee)
PM (3:15-6:00 pm)
Transportation Service
Let us know if you'll need AM pick-up or PM drop-off - additional fee:$10/$20 (daily, one-way/round-trip). Contact/Pay driver directly: 202.465.9902 (Mr. Muhammad)
AM Home
Early PM Home (3:45-4:15)
Late PM Home (5:45-6:15)
Health / Other
Is there anything we need to know that may affect your child's experience at ICE Camp? (I.e., allergies; medications, etc.)
Your answer
Skating Experience
Skates provided, if needed (Also: helmet, knee/elbow pads, wrist guards)
Choose
Novice (tentative: first or second timer)
Beginner (independent:can skate unassisted)
Intermediate (confident: turns/stops)
Advanced (skilled: speed/tricks/backwards)
Shoe / Skate Size
Skates provided, if needed (Also: helmet, knee/elbow pads, wrist guards)
Choose
Youth 12-1
2-5
6-8
9-10
Fee / Payment Info (Fall/Winter 2019)
Payment is due on program day, Cash or Check payable to DC-ICE
Regular Day (9am-3pm): $50
Full Day (w/Ext. Day): $60
Half-Day: AM, PM or Ext. Day only: $25
Home Transportation: $10 each way, $20 round trip, by location (Pay driver directly - cash)
Other:
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.
I Agree
Required
Submit
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