THURSDAY 2018/19 SESSION 2 IMPORTANT INFORMATION FOR IP SESSION 2

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1 THURSDAY 2018/19 SESSION 2 IMPORTANT INFORMATION FOR IP SESSION 2 Introduction- These lessons are designed to provide a jumping-off point where skaters can choose whether to pursue a recreational or competitive approach to the sport of figure skating. For those choosing to go on to competitive skating, Freestyle Ice is offered by the Essex Skating Facility. Additional Lessons and Practice Ice- Addition IP Lessons and Practice Ice for skaters are based on availability and never guaranteed. The maximum number of skaters allowed on the ice at a given time is 21. IP Lesson Guidelines- These IP lessons are for youth skaters up to 18 years of age. IP instructor assignments are based on instructor availability. Skaters with lowest-test levels will be given priority. If you plan to submit more than 1 lesson request mark one as 1st choice and one as 2nd choice Additional IP lesson requests must be paid by separate check. Additional practice ice requests must be paid by separate check. You will receive confirmation of additional lesson and practice requests by January 1. Freestyle Ice Program- Freestyle Ice is offered at the Essex Skating Facility on Tuesday and Friday nights. Contracting for Freestyle Ice time guarantees your ice time. Contact Jillian Geiss Frascoia jfrascoia@ewsd.org for more information on the Freestyle Ice Program.

2 Thursday 2018/19 Introduction to Private Lessons Session 2 For more program info visit: vermontskatingacademy.weebly.com $ for 12 week session for Basic 4 levels and up Before November 26- Complete this form and mail with $ registration fee to: Vermont Skating Academy, Essex Skating Facility, 2 Educational Drive, Essex Junction, VT After November 26- You must complete this form and bring with $ registration fee to: Vermont Skating Academy Drop Box located next to the Rink Office at the address listed above. If you have questions- You must complete this form and bring it with $ registration fee to: In-Person Registration at the Essex Skating Facility December 5 from 6:00 7:00 pm Registration Deadline: 12/14/18 A $10 late fee will be added to registrations received in our office after 12/14/18 VSA accepts cash and checks only, please make checks payable to: Essex Skating Facility Session A 5:20 6:20 Preferred Coach s Name Session B 6:20 7:20 Preferred Coach s Name Coaching assignments are based on availability (Preference for Introduction to Private Lessons will be given to skaters who have not passed Pre-Preliminary Tests) Skater s First Name Skater s Last Name Parent s Name Address _ Town Zip Birth Age Gender Main Contact Phone Number Main Contact Skate Rental yes No Are you a CVSC Member? Birth Age Basic Skills/Freeskate Level Highest MIF Test Passed Highest Freestyle Test Passed Office Use Recd. In Office Sent Input Spreadsheet Waiver Recd. Skate Rental USFSA Registration Paid - Cash/Check# Name:

3 Waiver and Release of Liability, Assumption of Risk and Indemnity Agreement In consideration of my participation in any Learn to Skate USA related activity, I acknowledge that I understand the nature of the activity and that I, and/or my minor child, am qualified, in good health, and in proper physical condition to participate in such activity. I acknowledge that if conditions are unsafe, I, and/or my minor child, will immediately discontinue participation in the activity. I fully understand that skating involves risks of serious bodily injury, including permanent disability, paralysis, and death, and that these and other risks may be caused by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the Releases named below; and that there may be other risks either not known to me or not foreseen at this time; and I fully accept and assume all such risks and all responsibility for losses, costs, and damages I incur as a result of my participation in the activity. I hereby release, discharge, and covenant not to sue Learn to Skate USA, its Member Clubs and Programs, their respective administrators, directors, agents, officers, volunteers, and employees, and any sponsors and advertisers of any -sanctioned event in which I participate (each considered one of the Releases herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence of the Releases. This release waiver of liability and express assumption of risk agreement does not apply to any liability, claims, demands, losses, or damages arising out of the gross negligence of, or intentional, willful or wanton misconduct of Releases. If I, or anyone on my and/or my minor child's behalf, makes a claim, I agree I will indemnify, defend, save, and hold harmless each of the Releases from any loss, liability, damage, or cost which any may incur as the result of such claim. I acknowledge that I have read this release, waiver of liability and express assumption of risk agreement and fully understand it. Please enter all participants names below and have the parent/guardian sign for all minors under the age of 18 years old. Parent/Legal Guardian Signature

4 Vermont Skating Academy 2018/19 Practice Ice Session 2 $90.00 for 12 week session Starts: January 3-4 Ends: March NO SKATING February 25 - March 1 PRACTICE ICE TIME IS BASED ON AVAILABILITY THURSDAY PRACTICE ICE (no lessons) 5:20 6:20 pm (before your class) 6:20 7:20 pm (after your class) FRIDAY PRACTICE ICE (no lessons) 5:30 6:30 pm You will receive confirmation of additional lesson and practice requests by January 1. PLEASE PRINT LEGIBLY THURSDAY PRACTICE ICE 5:20 6:20 pm THURSDAY PRACTICE ICE 6:20 7:20 pm FRIDAY PRACTICE ICE 5:30 6:30 pm Make checks payable to ESSEX SKATING FACILITY PLEASE WRITE A SEPARATE CHECK FOR EACH PRACTICE ICE SESSION REQUESTER Skater s Name: Phone Number: Address: Skate Rental: Yes No Basic/Freeskate Skills Level Highest Freestyle Test Passed Highest MIF Test Passed (If yes, add $10.00 for session) Office Use Recd. In Office Sent Input Spreadsheet Waiver Recd. Skate Rental USFSA Registration Paid - Cash/Check# Name: USFSA Registration

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