BROWSE
STORE
Balloon Bouquet
Enrollment Form
WeSkate
| Class Day:_____________ | Class Time: _____ | Age Level: ____ |
| Starting Date: __________ | Ending Date: ____ | Number of Lessons: ____ |
| Term: ________________ | Instructor Name: ___ | |
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| Last name: ____________ |
First name: __________ |
Parent name: __________ |
| Date of Birth: __________ | Age: ____________ | |
| Address ______________ | ________________ | |
| City, _______, State: ____ | zip: _____________ | |
| Home phone: __________ | Emergency contact: | Emergency phone: |
| Email address: ______________ | Name ___________ | ____________________ |
Terms and Conditions of Enrollment
- All applicants must pay tuition in advance.
- Lessons will be given at the time indicated on the application. The school reserves the right to change the day and time.
- In the event students cannot make the regularly scheduled lesson, a make up lesson may be taken. There will be no credit or refund for absences. All make-up lessons must be made prior to the last day of term enrollment.
- A student may cancel the remaining portion of a term under the following conditions:
- Give the school two weeks notice to terminate in writing.
- A refund of the tuition for the remaining classes minus a processing fee of 10% of the total tuition will be paid to skater.
- No credit or refund will be made for the lessons missed by the student prior to the termination date. However, missed lessons may be taken according the make-up rules.
- Student identification card and practice card must be returned with the written notice of cancellation.
- The semester includes: one 30 minute lesson per week. One practice card.
- Missed lessons must be made up prior to contract ending date.
- The above named student and parents, or guardian, agree that the Ice Palace is not responsible for loss or damage to any personal property or any injury or illness sustained during the activity or caused by any pre-existing condition.
- I, the undersigned parent or legal guardian of the above named participant, hereby authorize the instructors, coaches, or employees of the Ice Palace to consent to medical, dental or surgical examination and/or treatment of the above named participant and, in case of emergency authorize treatment or care at any hospital.______________(Initial here)
- Class is subject to cancellation or consolidation if there is insufficient enrollment.
- $10 replacement fee for lost cards. Practice cards will not be replaced.
- I give the Ice Palace permission to use my picture and I authorize the use and reproduction of it by you, or anyone authorized by you. This includes any and all photographs which you have taken of me for advertising purposes without further compensation to me. All negatives and positives, together with the prints shall constitute your sole property.______(Initial here)
I have read and agree to the Terms and Conditions of Enrollment: Skater’s Signature______________________________________
(Parent’s Signature if skater is under 18) ____________________________________________________
I skate in this class at my own risk and hereby release ISI, the host facility and their officers, directors, instructors and personnel from all liability. I declare that the information above is true.
I do hereby grant and give ISI and the arena the right to use my child's photograph r image with or without my child's name, both single and in conjunction with other persons or objects for any and all purposes.
Skater's signature _______________________________________________________
if under 18 years, parents signature __________________________________________
I or my child had the following health problems or special needs which the skating school should know about:
_________________________________________________________________________________________
