THURSDAY 2018/19 SESSION 1 IMPORTANT INFORMATION FOR IP SESSION 1

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THURSDAY 2018/19 SESSION 1 IMPORTANT INFORMATION FOR IP SESSION 1 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 for your first choice IP lesson after registration closes on September 7. You will receive confirmation of additional lesson and practice requests by September 9. 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.

Thursday 2018/19 Introduction to Private Lessons Session 1 For more program info visit: vermontskatingacademy.weebly.com $180.00 for 12 week session for Basic 4 levels and up Before August 19- Complete this form and mail with $180.00 registration fee to: Vermont Skating Academy, Essex Skating Facility, 2 Educational Drive, Essex Junction, VT 05452 After August 19- You must complete this form and bring with $180.00 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 $180.00 registration fee to: In-Person Registration at the Essex Skating Facility September 5 from 6:00 7:30 pm Registration Deadline: 9/7/18 A $10 late fee will be added to registrations received in our office after 9/7/18 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 Date Age Gender Main Contact Phone Number Main Contact Email Skate Rental yes No Are you a CVSC Member? Birth Date Age Basic Skills/Freeskate Level Highest MIF Test Passed Highest Freestyle Test Passed ------------------------------------------------------------ Office Use ------------------------------------------------------------- Recd. In Office Email Sent Input Spreadsheet Waiver Recd. Skate Rental USFSA Registration Paid - Cash/Check# Name:

Vermont Skating Academy 2018/19 RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT In consideration of participating in activities, I represent that I, the minor s parent and/or legal guardian, understand the nature of figure skating activities ( activity ) and the minor s experience and capabilities and believe the minor to be qualified to participate in such activity. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue the minor s participation in the activity. I fully understand that this activity involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by the minor s own actions, or inactions, those of others participating in the activity, the conditions in which the activity takes place, or the negligence of the Releasees named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, costs, and damages the minor incurs as a result of their participation in the activity. I hereby release, discharge, and covenant not to sue the Vermont Skating Academy, United States Figure Skating, it s directors, officers, administrators, sponsors, volunteers, agents, employees, staff, instructors, trainers, other participants and if applicable, owners and lessors of premises on which the activity takes place (each considered one of the Releasees 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 Releasees or otherwise, including negligent rescue operations; and I further agree that if, despite this release, waiver of liability, and assumption of risk, I, or anyone on the minor s behalf, makes a claim against any of the Releasees, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS each of the Releasees from any litigation expenses, attorney fees, loss liability, damage, or cost any Releases may incur as the result of any such claim. I have read this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid, the balance, notwithstanding, shall continue in full force and effect. Name of 1st Minor Child Member: Name of 2nd Minor Child Member: Name of 3rd Minor Child Member: Printed Name of Parent(s)/Guardian(s): Signature of 1st Parent/Guardian: Date: Signature of 2nd Parent/Guardian: Date:

Vermont Skating Academy 2018/19 Practice Ice Session 1 $90.00 for 12 week session Starts: September 13-14 Ends: December 13-14 NO SKATING November 21 23 November 28 November 30 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 September 9. 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: E-mail 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 Email Sent Input Spreadsheet Waiver Recd. Skate Rental USFSA Registration Paid - Cash/Check# Name: USFSA Registration