Location: Springbank Park for all Seasons Dates: July 6-10 and July 13 -17  Time: 9:30- 11:00am  

Skater’s  Name:  ___________________________________________ 

Parent’s  Name: ____________________________________________ 

Mailing Address:____________________________________________ 

Telephone: Hm:____________________ Cell:___________________ 

Email: ____________________________ 

Emergency Contact name:______________________

Phone:___________ 

Alberta Health Care # ________________

Skate Canada#__________

 

Waiver of Liability: I agree to abide by the Rules and Regulations of Skate Canada and the Springbank Figure Skating Club (SFSC). I agree that the SFSC and/or the Executive Committee,Coaches and Springbank Park for all Seasons will not be held responsible for any accident or loss, however caused, and damages which may arise, from such accident or loss. 

Registration Deadline: June 1, 2015  Choose Sessions: July 6-10 ($95) ___ OR July 13-17 ($95) ___ OR Both ($170)

 Mail Form and payment to: (make cheques payable to SFSC) SFSC Summer School Coordinator 40 aspen summit park sw Calgary, AB T3H 0T7

Inquiries: email Carla Elgar (carlaelgar@hotmail.com)

  Cancellation Policy: Cancellation in part or full must be made by June 1st to receive a full refund. In case of serious injury or illness, a medical certificate must accompany a written request to obtain a refund for the remainder of the program. SFSC reserves the right to change and/or cancel any portion of the schedule.

My signature indicates I apply to register the skater listed above, I accept the Waiver of Liability. 

Parent/Guardian Signature ____________________ Date______________