2015– 2016
PRIVATE LESSONS
Pre-Season Sept 02, 03, 08, 09, & 10, 2015 included in fees
Regular Season at Valleyview Arena: Sept 14, 2015 – March 31, 2016
Name:
Skate Canada #
Date of Birth: (month/day/year)
Parents/guardians:
Address:
Phone:
Primary Email:
Female
Male
Previous Club:
Age:
City:
Cell/alt. phone:
Postal Code:
(All updates will be sent to this address)
Emergency Contact:
Cell/alt. phone:
Phone:
STARSkate
CompetitiveSkate
Fees
Intermediate
(includes pre-season ice)
Two days: $525
Three days: $750
Four Days: $950
Five days: $1125
Highest test level:
INTERMEDIATE
Monday:
Tuesday:
Wednesday:
Thursday:
Friday Morning:
Fees
Senior / Masters
(includes pre-season ice)
Two days: $575
Three days: $825
Four Days: $1050
Five days: $1200
*Wed only: $150
SENIOR
MASTERS
Monday:
Tuesday:
*Wed at SC:
Thursday:
Friday Morning:
*Some Wed. ice at SC may be cancelled due to Blazer games or other conflicts. (Wed only option does not include make-up ice)
VVSC member Punch Card(s): $150.00 for a 10 hour card.
Number of cards:
Session Fees: (may be divided up into equal payments with cheques postdated Sept. 02, Oct. 01, Nov. 01,
Dec. 01, Jan. 01 and Feb. 01. Your first payment must include the $50 non-refundable membership fee.
$
$
VVSC Membership Fee: (is non-refundable & includes the $32 Skate Canada fee and $0.65 insurance fee)
+$ 50.00
Minus P.A. or other Credits -$
Please note: Waiver must be signed and Fees paid prior to skating on any session.
TOTAL PAID
$
Volunteer Fee: A separate cheque postdated to Mar. 15, 2016 will be collected for your Volunteer Fees.
Please see the Volunteer Opportunities and fee description page on the web site for details.www.vvsc.ca
Payment options: CHEQUE (payable to VVSC) ;
CASH
; ONLINE
;
($40.00 will be charged for NSF cheques.)
Waiver and Consent
Skater’s Name:
1) All skaters skate at their own risk. The Valleyview Skating club will not be held responsible for injuries or loss of property incurred while
attending this club. The undersigned agrees to abide by the rules and policies of the club, which can be viewed on our web site – www.vvsc.ca and
be responsible for the payment of any sessions or lessons booked.
2) I hereby give my consent to the Valleyview Skating Club to put my telephone number and/or email address on a club contact list for the sole
purpose of club communications.
3) Should the opportunity arise, I give permission for the above named skater to be included in photos and/or videos which may be taken by
representatives of Valleyview Skating Club for publications, media coverage, club website or promotional activities.
Signed
Date
Do not write below
Payment received by:
Date:
Skate Canada entry:
Receipt:
2015 Aug 03