TO SKATE. 4 Sessions Per Year. Ages 3-Adult. Thursday & Monday Evenings 5:30-6:45pm

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1 LEARN TO SKATE 4 Sessions Per Year Ages 3-Adult Thursday & Monday Evenings 5:30-6:45pm Skaneateles & Auburn Y members are eligible for one FREE year of Basic Skills Skating lessons. All skaters must be members of US Learn to Skate - $18 The Skaneateles Figure Skating Club and the YMCA have joined forces to offer FREE Learn to Skate 1st year lessons with a YMCA membership.a great introduction to recreational, figure and hockey skating. Second year lessons and beyond, pay a fee for Learn to Skate. All Skaters must hold a current USFS Learn to Skate registration, valid July 1 - June 30 each year. Learn More by viewing our FAQ s on the flip side of this page.

2 LEARN TO SKATE FAQs Y-Members are eligible for one free year of Learn To Skate lessons. Your year begins at initial sign up date and runs for one year from that date. Pre-registration is a must even if you have participated in past sessions All participants in Learn to Skate must be registered members of USFSA*. Registration for USFSA is valid 7/1-6/30 and costs $18.00 This separate fee will be paid by cash or check made payable to The Skaneateles Figure Skating Club. Must be completed at time of registration or show proof of membership. Enjoy one hour of ice time which includes a 20 minute group skating lesson & 40 minutes of practice time. Specific lesson times will be designated within the hour of ice time. Learn To Skate Skating sessions are available: Thursdays, 5:30-6:45pm Mondays, 5:30-6:45pm Choose your day at time of registration Participants may upgrade to Basic Plus for an additional fee, which provides 2 1/2 hours and 2 weekly lessons for a fee. Thursday time: 5:30-6:45pm Monday time: 5:30-6:45pm Registration closes one week prior to skate start date. Last Minute walk ins do not allow proper preparation and the ability for us to provide the appropriate number of coaches. We want to provide you with the highest quality instruction,so we ask for your assistance with this. Missing Classes/Make Up Classes When we plan a LTS semester, we determine our coaching needs based on the number of registered skaters, we then hire staff, recruit assistants and book our ice. If a skater misses classes or multiple classes in a semester, the cost of our staff, ice and other expenses remain the same. Therefore, NO credits will be given for missed classes About the Skaneateles Figure Skating Club Joining the Skaneateles Figure Skating Club is optional for Learn to Skate Participants. Membership to SFSC includes access to private lessons,basic skills and other Competitions, the annual Ice Dreams show, and other special events. There are required volunteer hours for all club parents. For further club information please contact Katherine Teasdale -Edwards at mkte6@aol.com. There is a $25 fee to join the club, which renews annually on July 1.

3 SKATING REGISTRATION FORM Skater Information : Name of Skater Sex Birth date / / Age ( 3+) Address City State Zip USFSA # Phone Special Health Needs/Special Requests Emergency Contact Relationship Phone Home Phone Other Phone(s) : Parent Information: Parent/Guardian Address: Home/ Primary Phone Other Phone Please circle day of current session registration open ONLY for current session. Fall Winter Monday: September 25 November 20, 2017 Monday: January 8 March 5, 2018 Thursday: September 28 November 30, 2017 Thursday: January 4 March 1, 2018 Spring Summer Monday: April 9 June Monday: June 28 August 23, 2018 Thursday: April 5 May 31, 2018 Thursday, July 2 August 27, 2018 Circle level you will skate : Basic Basic Plus* 4. Select Class Day (Please Circle) Thursday : 5:30 6:45pm or Monday :5:30 6:45pm * Basic Plus skaters will participate BOTH days. 5. Please circle amount you are paying Y member rates apply to Skaneateles/ Auburn Y Members ONLY Basic First Year: * Y Member: FREE General Public: $220 Basic 2nd Year & Beyond Y Member: $120 General Public: $220 Basic PLUS: Y Member $120 General Public: $280 Basic Plus 2nd Year & Beyond : Y Member: $180 General Public: $280 USFSA Information: You must be a USFSA member at the Basis Skills level to take private lessons during Basic and Basic Plus hours. Junior/ Collegiate/Adult members MUST be a USFS Member to register in this program A USFS membership can be purchased directly through the USFSA, through the Skaneateles Figure Skating Club or through another Figure skating club. For USFSA membership questions, contact the SFSC at skaneatelesfsc@clubmembership.org AGREEMENT I understand that the YMCA-WEIU is guided by the values of honesty, caring, respect and responsibility and I agree to abide by the policies and rules established by the Board of Directors and staff, including the Members Code of Conduct. I also understand that I participate in YMCA and Skaneateles Figure Skating Club activities and use YMCA & SFSC facilities and equipment at my own risk. The Auburn ( Skaneateles) YMCA does not carry individual accident insurance; if I become ill or injured from such use or participation, I must use my own insurance. I hereby certify that my I/My child is in normal health and capable of safe participation in this sports program. I assume all risk(s) and hazards incidental to the conduct of this program and for the transportation to and from the program. I hereby authorize the YMCA to obtain medical treatment for my child in the event that parent(s) and the emergency contact cannot be reached. Signature (parental signature for minor child Skaneateles YMCA & Community Center 97 State Street Skaneateles NY

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5 SKANEATELES YMCA & Community Center 97 State St Skaneateles NY Phone: Fax Medical Authorization Form Childs Name: Male Female Address: State Zip Date of Birth Parent/Guardian Information #1 Name: Relationship: Address: City: State: Zip: Phone:(H) Phone (C) Phone (W): Age Parent/Guardian Information #12 Name: Relationship: Address: City: State: Zip: Phone:(H) Phone (C) Phone (W): Special Instruction (Allergies,eye glasses,heart problems,asthma or other) Insurance Company: Policy Number: Family Physician: Phone Number: Address: City: State: Zip: Dentist: Phone Number: Address: City: State: Zip: In Case of Emergency, if parent/guardian cannot be reached please call: 1.Name Phone Number(s) Relationship to Child In Case of Emergency, if parent/guardian cannot be reached please call: 2. Name: Phone Number(s) Relationship to Child: Signature here authorizes a licensed physician, surgeon or other recognized hospital staff member to carry out emergency medical care, deemed necessary for my child/ward in emergency when normal permission is unavailable. Name: Signature Date

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