Power Skating Registration-2025 Season

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P.O. Box 872 Renfrew, Ontario K7V 4A6

Email *

Skater's Last Name *

Skater's First Name *

Please select the level your child will be playing during the 2025/26 season *

Ringette U10

Ringette U12

Ringette U14

Ringette U16

Ringette U18

Hockey U7

Hockey U8

Hockey U9

Hockey U10

Hockey U11

Hockey U12

Hockey U13

Hockey U14

Hockey U15

Hockey U16

Hockey U17

Hockey U18

Choose level:

House

Rep

Clear selection

Sex *

Female

Male

Birthday D/M/Y *

Street Address: *

Town *

Postal Code *

Township if not in Town of Renfrew

Mother's Name *

Phone Number *

Father's Name *

Phone Number *

Emergency Contact (other than parent) *

Emergency Contact Phone Number: *

Does your child suffer from allergies? (if yes, please specify) *

Does your child carry an epipen? *

Yes

Does your child have special needs? *

Yes

If you answered yes, please explain

The Renfrew Skating Club may use photos for publicity, such as the website and newspaper to generate awareness of our sport and acknowledge skaters achievements. Unless you select "OPT OUT", we may include your skater's name and image. *

Yes, I would like to OPT OUT

No, I do not wish to OPT OUT

Method of Payment *

Cash

Etransfer (renfrewskatingclubtreasurer@gmail.com) password: skater

Cheque

Times (subject to change depending on registration) *

Sundays Level 1 - U10 and Under

Sundays Level 2 - U11 and over

Other:

Fees and Schedule *

Program starts August 17 and is 10 sessions - cost $195

Required

Please check that you understand: *

All Power Skaters must wear full hockey or ringette gear to participate

Payment must be received prior to skater entering the ice on August 17.

Refund Policy - Refunds will not be given after August 23, 2024. All refunds will be subject to a $25.00 administration fee, as well as the cost of the Skate Canada fee and cost of ice time used before refund is requested.

Required

Waiver *

The applicant acknowledges that participation in a skating program involves certain risks and may result in an injury, other than the above disclosures in the application. The applicant declares to be in proper physical condition and in good health to participate in the program. The applicant hereby waives all claims, rights or courses of action against the Renfrew Skating Club, it's officers, Directors, Coaches or Members from personal injury or loss of property of any nature or kind, however or whenever sustained. The skating committee or professionals have my permission to seek the necessary hospital, medical, surgical or dental treatments and to perform First Aid in case of accident.

Required

Please complete the link for Rowans Law and then submit. https://forms.gle/izeD6j9jizxv3qvA7 *

I have completed the Rowan's law waiver

A copy of your responses will be emailed to the address you provided.

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