Brand NEW skaters ages 3-6 years old start with - Classes are Mon or Wed from 5:45-6:15pm

1. Brand NEW skaters ages 3-6 years old start with - Classes are Mon or Wed from 5:45-6:15pm Snow Plow Sam $45 Circle Level 1 ____ Mon or Wed Level 2 ____ Level 3 ____ SCIS Basic Skills Registration Form – Session 2– 2014-2015Skater’s name ______________________ USFS # ___________Date of Birth___________ Age ____ Parent’s name____________________________________ Home phone_______________________Street Address __________________________________ Cell phone __________________________________________________________________ E-mail Address ____________________________ ***USFS annual membership fee $12 Included in the Class Fee is Practice ice time on Sundays 6:15-6:45 Monday from 5:45-6:45 Wednesdays from 5:45-6:45 Other times will be emailed when available Multiple Skater Discount Available for families with multiple skaters. The first skater is full price, each additional skater receives$5off of their registration fees. Brand NEW skaters ages 7 years and older start with - Classes are Mon or Wed from 5:45-6:15pm Basic Skills$45Mon or Wed Level 1 ____ Please list all of the skaters in your family _______________________ _______________________ _______________________ Waivers ___ Concussion forms ___ Medical form ___ Work Credits/ Fundraising agreement ___ Work Credit log ___ Additional Class options Holiday Buddy Skate $35 Class is on Mon. 6:15-6:45 pm Low Art On the Edge $45 SYNC ONLY REQUIRED for Beg. And PJ sync skaters Class is on Sun 5:45-6:15pm Adult Class $35 Class is on Wed 6:15-6:45 Basic Skills $60 Classes are Wed from 5:45-6:15pm Level 2 ____ Level 3 ____ Level 4 ____ Class Fee _______ Additional Class Fee _______ USFS membership _______ Multiple skater discount ______ Out of Club fee +40Total Fees Due ________ Cash/check#________Date__________BM initials________ Basic Skills $70 Classes are Wed from 5:45-6:15pm Level 5 ____ Level 6 ____ Level 7 ____ Level 8 ____