C h i l l Z Summer o n e Skate Camp $120 once a week/session $200 twice a week /session Registration includes:    30 minute lesson with internationally rated PSA professional coaches 30 minutes practice ice time Pair of regular rental skates Professional quality skates are available for rent for additional $35/session Make sure to wear long pants, long socks and gloves or mittens! Deadline for sessions 1, 2 - June 10, for session 3 - July 25 PLEASE PRE-REGISTER BY EMAIL [email protected] OR BY PHONE AT 515-490-5148 Name:___________________________________________________ Gender:________ Age: ___________________Shoe Size:____________ Address:__________________________________________________ e-Mail:________________________Phone:______________________ Session #: ____________________Session Day: ___________________ Please make check payable to: Central Iowa Figure Skating Club (CIFSC) Mail your application and check to CIFSC- 3204 67th Street Urbandale, IA 50322. LIABILITY AND PHOTO RELEASE WAIVER I hereby release the Central Iowa Figure Skating Club, its affiliates, professional staff, Board members and Buccaneer Arena from any and all liabilities as a result of personal injury, which may be sustained by myself/my child. In addition, I hereby consent to and authorize the use of any photographs or videos that have been taken of me and/or my child(ren) for the purpose of marketing/advertising of the CIFSC Learn to Skate program. Such photographs will not have names listed. Skater/Parent Signature:___________________________ Date: ________ This program is not endorsed or sponsored by the School District. It is being provided to inform of community activities and opportunities. CIFSC is a nonprofit organization registered with the State of Iowa. CIFSC reserves the right to cancel scheduled program due to low enrollment or unforeseen circumstances. I am registering for:  Session 1 Mondays ($120)  Session 2 Fridays ($120)  Session 3 August ($120)  Both Days ($200)