Online Registration Form - 2019/2020 (Ingersoll Skating Club)

Print Online Registration Form - 2019/2020
Ingersoll Skating Club Registration 2019/2020 Please complete one form per skater.
Skater Information
  1. RadDatePicker
    RadDatePicker
    Open the calendar popup.
  2. 10 Digit Membership #
Parent/Guardian 1 Information
  1. Example: ###-###-#### x###
  2. Example: ###-###-#### x###
  3. Example: [email protected] Your submission will be sent to this address.
Parent/Guardian 2 Information
  1. Example: ###-###-#### x###
  2. Example: ###-###-#### x###
Additional Emergency Contact
  1. Example: ###-###-#### x###
  2. Example: ###-###-#### x###
  1. If accepted I hereby agree to be governed by the bylaws, rules and regulations of the club, the club will not be held responsible for any injury, loss of equipment or personal belongings sustained by me as a member of the club.  Cancellations subject to $40 administration fee.  No Refunds after October 31, 2019, with exception to long term injuries. Sessions subject to change according to registration needs.
  2. In the event of illness or an accident, I / we give full consent to the Ingersoll Skating Club, our coach and / or an attending physician, to do whatever they believe is necessary for the health and well being of the above named child. This consent includes authorization for treatment at a hospital or other medical facility should that be necessary. 
Medical Information:
Publicity Autorization
I hereby give consent for my child to be:
  1.     
  2. Family Commitment Bond

    Again this year, we are faced with increased operating costs and facility rental charges.  The board will continue to implement a family commitment bond.  The purpose of the bond is to expand our volunteer base.  

    Bond cheques are to be post-dated to March 15, 2020 and must be issued on the first day of skating.

    You require 50 points per skater to a maximum of 100 points per family.  There are various ways for everyone to help and earn their bond payment back. 

     

    Note:  Carnival will not be included towards bond commitment point with the exception of those positions named by the Carnival Committee.

    Bond Cheque Amount

    $125 - Canskaters 
    $150 - Junior, Intermediate & Senior Skaters
    $200 – Family

Session Selection
Please select the appropriate options for your skater.














  1. Required for all session except Parent & Tot, Learn To Skate & Power Skating.
  1. Notice of Collection Statement: Your privacy and the protection of your personal information is important to us. Your personal information is required to register you with Skate Canada in any capacity, including, without limitation, as a Skate Canada registrant, coach or in connection with your affiliation with a skating club or skating school and to administer various services, such as Skate Canada events. Your personal information may also be exchanged with Skate Canada affiliates which includes your local skating club or skating school or provincial association or section. By submitting this form, you expressly provide your consent to the sharing of your personal information with Skate Canada and as described herein for purposes of registration and receipt of national services delivered by Skate Canada. We adopt the 10 Fair Information Principles into our privacy program, and employ reasonable measures to protect against unauthorized access, processing, disclosure, alteration, destruction or loss of your personal information. See Skate Canada's Privacy Policy for more details.



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Printed from ingersollskatingclub.com on Thursday, July 18, 2019 at 3:27 AM