PLATTSVILLE FIGURE SKATING CLUB REGISTRATION FORM OCTOBER 2015 TO MARCH 2016

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1 PLATTSVILLE FIGURE SKATING CLUB REGISTRATION FORM OCTOBER 2015 TO MARCH 2016 Full name: Street address: City: Pstal Cde: Birth date: (M/D/Y) Gender: F M Phne number: Cell phne number: address: Skate Canada #: Health Card # Health cncerns? Parents / Guardian s names: The Plattsville Figure Skating Club reserves the right t mve skaters between classificatins depending n the skater's ability. The Plattsville Figure Skating Club has the right t change the schedule depending n registratin and als t accmmdate special circumstances such as test sessins and ther emergency situatins, r t cancel any sessin withut ntice. Media Permissin: Unless OPT-OUT is circled, it is understd that permissin is granted as fllws I give my permissin fr the Plattsville Figure Skating Club t use my image (phtgraph r vide) n the Club website r t prmte club events and activities. OPT-OUT WAIVER: Applicant hereby waives all claims, rights r causes f actin against the Plattsville Figure Skating Club, its fficers, directrs, emplyees, r members fr persnal injury r lss f prperty f any nature, hwever r wherever sustained Signature f skater r f parent/guardian if skater is under 18 Date

2 PROGRAMS DAY X TIME STARTING DATE Canskate *pick either day fr ne day member Advanced Canskate/Junir *see nte #3 COST VOLUNTEER BOND Mnday 6:40-7:20pm Oct 26, day $ $75.00 $ Wednesday 5:30-6:10pm Oct 28, day $ FUNDRAISING FEE Mnday 6:40-7:20pm Oct 26, day $ $75.00 $ Wednesday 5:30-6:10pm Oct 28, day $ $75.00 $ Friday 6:25-7:20pm Oct 30, Private lessns nly Skate Canada fee Nte: nt included in Sessin A/B fees $33.00 Sessin A* Must be wrking n Mnday 5-6:30pm Oct 26, 2015 $ $ Skate Canada Tests Wednesday 4-5:30pm Oct 28, day $ (*intermediate) Sessin B* Must have Gld skills and Part 1 Senir Brnze freeskate (*senir) Ttals Please nte: Friday *see nte#4 4:45-6:15pm Oct 30, day $ Mnday 7:30-9:20pm Oct 26, 2015 $ $ Wednesday 6:20-7:50pm Oct 28, day $ Friday 4-5:30pm Oct 30, day $ Mark day(s) requested subject t caches discretin and availability 2. Skate Canada fee f $33 is mandatry and nn refundable; nt included in Sessin A/B fees; must be included in depsit fr all skaters 3. Fr Advanced Canskate/Junirs 2 day can be cmb f Mnday/Wednesday/Friday; days must be marked and apprved by caches; 3 day available cst t be determined 4. Fr Friday, Sessin A, must have passed part 1 f Junir Brnze freeskate 5. One day membership fr intermediate/senir may be available at request t Bard cst t be determined 6. Vlunteer Bnd (cheque pst-dated t March 31, 2016) and Fundraising Fee (cheque pst-dated t Nvember 1, 2015) is per family; family has pprtunity t earn back the cst (see attached sheet) Payment, Refund and Withdrawal Plicy: Cheques are t be made payable t Plattsville Figure Skating Club. NSF cheques will be subject t a $40 administratin fee. Cheques may be psted dated. Please pay fees in full r in 2, 3 r 4 instalments (see dates belw). Ask registrar fr further details payment plan must be clarified at registratin. All fees must be received n later than January 15, Late fees may apply t unpaid registratin fee. All members f the club must pay club fees as stipulated by the club bard f directrs. Members in arrears shall be cnsidered as having terminated their membership. N refunds will be given after the 15 th f Nvember 2015, unless accmpanied by a medical certificate. Withdrawals accmpanied by a medical certificate, will be entitled t a pr-rated refund. OFFICE USE ONLY Registratin depsit: cheque # Skater Names: 1. Nvember 1, 2015: cheque # 2. December 1, 2015: cheque # 3. January 1, 2016: cheque # 4. Vlunteer bnd cheque # Fundraising cheque #

3 Plattsville Skating Club Vlunteer Registratin 2015/2016 Our club relies n vlunteers! The vlunteer bnd can be cashed r a vlunteer cmmitment can be made and yur cheque will be held until the cmmitment is fulfilled. Canskate and Advanced Canskate families are required t submit a vlunteer bnd cheque fr $75 at registratin. Sessin A/Intermediate and Sessin B/Senir skater families are required t submit a vlunteer bnd cheque fr $150 at registratin. One cheque is required per family, based n yur mst advanced skater s categry. T fulfill yur vlunteer cmmitment, Canskate/Advanced Canskate families shuld anticipate dnating at least 5 hurs f time t club functins, and Sessin A/Int. and Sessin B/Senir families shuld anticipate dnating at least 10 hurs f time t club functins. Skater Name Cntact Name Cntact Vlunteer Bnd submitted I wuld prefer t vlunteer n an n ging basis I am interested in the fllwing n ging psitins: Executive Bard Member Carnival Cmmittee (vlunteering thrugh March 2016 is required) Advertising/Spnsrship Vlunteer Crdinatr Registratin Fundraising Sessin Rep (please circle: Canskate, Advanced Canskate, Sessin A/Int, Sessin B/Sr) Synchr Rep Cmmunicatins (Newsletter, bulletin bard, website, etc) Test Chair Registratin I wuld prefer t vlunteer fr special events I am interested in the fllwing special events in the Winter 2015 sessin: Hliday On Ice Shw Fundraising Initiatives Wheelbarrw f Cheer Fundraiser I wuld like t have my vlunteer bnd cashed immediately Further infrmatin n vlunteer jb respnsibilities will be prvided when jbs have been assigned. Please nte that yu may indicate yur preferences n this frm. We encurage yu t check as many categries as pssible. Psitins fill quickly and we cannt guarantee yur preferences will be available. The vlunteer crdinatr will discuss ptins with each family fllwing registratin.

4 The Fundraising cmmittee welcmes yu t the 2015/2016 PFSC seasn. Our skating club like many ther rganizatins depends n vlunteers and fundraising t sustain them. We knw that families becme bmbarded with fundraising this time f year s we decided that instead f having numerus ptins we will have three main fundraisers. Spnsrship Letter Christmas Shw Wheel Barrw f Cheer Carnival After much cnsideratin we believe these three events/ptins bring in the mst mney t ur club. Mney that is much needed t ff set increasing csts t ice and skate prgrams. T start ff the seasn yu will find a Spnsrship letter in yur registratin package. We hpe that yu will phtcpy this and pass alng t friends and family and peple that yu knw with businesses. We d nt expect yu t g dr t dr. This allws businesses t get their name ut there n ur website and carnival prgrams fr free. Stay tuned t ur Website, Facebk Page and the Bulletin Bard in the lbby f the arena fr mre infrmatin t fllw n the Wheel Barrw f Cheer fr the Christmas shw. Yurs in Skating, The Fundraising Cmmittee

5 T Whm It May Cncern, The Plattsville Skating Club is lking fr spnsrship frm lcal businesses and individuals. The Club is a prud member f Skate Canada and has been a part f the cmmunity fr ver 40 years. Plattsville Skating club is well knwn fr prducing skaters at the Natinal, Prvincial and Winter Games level. We are dedicated t prviding the yuth f Plattsville and surrunding areas with an pprtunity t participate in skating thrughut their lifetime fr fun, fitness and achievement. We ffer skating instructin fr all levels frm ur Learn t Skate prgram, Starskate, Cmpetitive skating, and Synchrnized skating prgrams. We have a dedicated caching staff that wrk hard t prvide every pprtunity fr ur skaters t be the best that they can be. The Plattsville Skating club is a nt fr prfit rganizatin, and we are actively seeking spnsrs t help keep ur club and ice csts affrdable fr ur families. With yur spnsrship, we will ffset the increasing csts f ice and fees. As a spnsr, ur club will place yur ad in ur Hliday Ice Shw and ur annual yearend Carnival prgrams. It will als be placed n ur Website and Facebk page. If yu wuld like t make a spnsrship dnatin, r if yu have any questins, please cntact Nicle Swartzentruber President f the Plattsville Skating Club at * r by mail at n.swartzentruber@execulink.cm Yurs in Skating, Plattsville Skating Club Fundraising Cmmittee

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