2008-09 Registration

2008-09 Registration

Child's Name *
MCP number *
Date of Birth: D/M/Y *
Parents/Guardians Name *
Telephone Number *
Mailing Address *
E-mail address *
Skating Program Registering For: Learn to Skate, Canskate or Star Skate *
Do you agree to these terms? Waiver: It is understood and agreed that the Southern Shore Figure Skating Club and Skate Canada should not be liable for injury or loss occasioned by the member while traveling to or participating in skating practices, competitions or other activities nor shall the Southern Shore Figure Skating Club and Skate Canada be responsible for any damages or losses caused by the member during the same time the member and/or members, parent(s)/legal guardians agrees to indemnify the Southern Shore Figure Skating Club and Skate Canada and hold it harmless from any claims or demands in respect of such loss or damage. *	Yes No
Name of Parent/Legal Guardian submitting form *
Do you give permission for your child's photographs to be used on the SSFSC website? *	Yes No
Are you interested in joining the executive? *	Yes No