Brand NEW skaters ages 3-7 years old start with - Snow Plow Sam Level 1 ____

1. Brand NEW skaters ages 3-7 years old start with - Snow Plow Sam Level 1 ____ Level 2 ____ Level 3 ____ $35 Snow Plow Sam & Basic Skills Classes are on Mondays 5:45-6:15 SCIS Basic Skills 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 ____________________________ ***USFS annual membership fee $12 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 8 years and older start with - Basic Skills Level 1 ____ $35 Included in the Class Fee is Practice ice time on Sundays from 2:00-3:00 and Wednesdays from 5:45-6:45 Please list all of the skaters in your family _______________________ _______________________ _______________________ Waivers ___ Concussion forms ___ Medical form ___ Work Credits/ Fundraising agreement ___ Work Credit log ___ Basic Skills Level 2 ____ Level 3 ____ Level 4 ____ $50 Additional Class options Team Class $35 For Snow Plow Sam - Basic 2 skaters Class is on Wed. 6:15-6:45 pm Low Art On the Edge $35 For Basic Skills skaters Basic 3 and up skaters REQUIRED for Beg. And PJ sync skaters Class is on Mon. 6:15-6:45 pm Class Fee _______ Additional Class Fee _______ USFS membership _______ Multiple skater discount ______ Total Fees Due ________ Cash/check#________Date__________BM initials________ Basic Skills Level 5 ____ Level 6 ____ Level 7 ____ Level 8 ____ $65