Free Skate Classes Level 1 ____ Level 2 ____ Level 3 ____

1. Free Skate Classes Level 1 ____ Level 2 ____ Level 3 ____ Level 4 ____ Level 5 ____ Level 6 ____ $70 Multiple Skater Discount Available for families with multiple skaters. The first skater is full price, each additional skater receives$5off of their registration fees. ***USFS annual membership fee $50 first family member or there is a one time introductory fee of $25 Each additional family member is $20 SCIS Free Skate Registration Form – Session 1 – 2013-2014Skater’s name ______________________ USFS # ___________Date of Birth___________ Age ____ Parent’s name____________________________________ Home phone_______________________Street Address __________________________________ Cell phone __________________________________________________________________ E-mail Address ____________________________ Free Skate Classes Classes are on Wednesdays 5:45-6:15 Please list all of the skaters in your family _______________________ _______________________ _______________________ Additional Class options Low / Med Moves $45 Class is on Sun. 5:45-6:15 pm Low Art On the Edge $35 For Free Skate 1-6 skaters REQUIRED for Beg. And PJ sync skaters Class is on Mon. 6:15-6:45 pm Sync Trainer Class $35 Invite only - Wed. 5:45-6:15 Accelerated Jumps & Spins $45 For FS 6 and up Sun. 6:15-6:45 Waivers ___ Concussion forms ___ Medical form ___ Work Credits/ Fundraising agreement ___ Work Credit log ___ Included in the Class Fee is Practice ice time on Sundays from 2:00-3:00 4:45-5:45 Mondays from 3:30-4:30 5:45-6:15 7:30-10:00 Wednesdays from 3:30-4:30 6:15-6:45 Class Fee _______ Sync AOE Class Fee _______ Additional Class Fees ______ USFS membership _______ Multiple skater discount ______ Banquet ticket ___ x $40______ Total Fees Due _______ Check#___Cash___Date______BM initials________