The Garden State Skating Club presents:
JUNIOR CLUB Spring 2015
(Bridge Program)
April 24, 2015 – May 29, 2015
At Middletown Ice World
www.gardenstatesc.org
What Is It?
The Garden State Skating Club is proud to continue our innovative program for
the 2014-2015 Basic Skills season. The Garden State Skating Club Junior Program
is being held on Fridays from 4:00pm to 4:30pm (30 minutes) for six weeks.
Once a week, students will participate in an on-ice segment taught by Garden
State Skating Club senior coaches. The on-ice curriculum includes components
such as stroking and edges, power skating, introductory moves-in-the-field, spins,
and jumps. Students will be exposed to Garden State Skating Club sessions and
all it has to offer.
This class is ideal for children looking to take the next step after Learn to Skate to
become a more competitive skater. This class is taught in a group format but the
children will be exposed to other competitive skater. The instructional part of the
class will be held from 4:00 – 4:30 but then the children will be encouraged to
stay on the ice and practice from 4:30 – 5:00.
Who Can Participate?
The class is open skaters who have completed at least SnowPlow Sam 3 or Basic 2
and have their own skates. The skaters will be broken up into similar levels, based
on the number of students who sign up for the classes. Anyone who is a member
of US Figure Skating through the basic skills program (Middletown Skating
Academy) or a member of the Garden State Skating Club is welcome to sign-up
for these classes. Basic skills students also qualify for the GSSC “Jr” membership
which is given at a reduced rate for the first year of membership, although this is
not a requirement to participate. All members receive full US Figure Skating
membership, Skating Magazine, and the ability to participate in exhibitions, tests
and other events put on by the GSSC.
When Is It?
The Junior Program will be conducted on Fridays from 4:00pm to 4:30pm, April 24
– May 29 2015.
How Much Does It Cost?
The cost will be $175. This includes on-ice, and all instructor costs. Prorated
weeks may be pre-purchased at $30 per week. You may drop off your application
at the rink Attn: Adriana Ryan. Note: You must either have a Garden State
Skating Club membership, or US Figure Skating Basic Skills Membership.
How Do I Find Out More Information?
For more information on this program, contact Adriana Ryan at
[email protected]
BASIC SKILLS JUNIOR PROGRAM APPLICATION
All Sessions will be held on Fridays 4:00pm to 4:30pm
Levels Basic 3 through Preliminary
STEP 1: Sign up (all payments are due at the time of sign-up). The cost for each session is $175.00 per
6 week session.
All classes are 30 minutes long. Please note that applications shall be accepted on a space-available basis.
Group sizes are limited - to guarantee space, please submit your application by April 20, 2015
To: Middletown Ice World
c/o Adriana Ryan
Applications can be dropped off at rink and ask to put in my mailbox
STEP 2: Please complete the following information as part of the registration process. PLEASE PRINT
LEGIBLY.
Age_______________________ Date of Birth_______________________________________________
(Minimum Age = 4 years)
______________________________________________________________________________
Basic Skills Level or Highest Freestyle Test(s) Passed
(required)
____________________________________________________________________________________
Skaters Name
(First)
(Last)
____________________________________________________________________________________
(Parent or Guardian’s Name
(First)
(Last)
_____________________________________________________________________________________
Street Address
_____________________________________________________________________________________
(City)
(State)
(Zip)
________________________
(Home Phone)
____________________
(Work Phone)
________________________
(Emergency Phone)
Female________Male_________
________________________________________________________
Circle one: GSSC Member USFS Basic Skills Member
Membership Number________________
Indicate number of weeks_______ x $30 total _______ or all 6 weeks_________ $175
Checks made Payable: Middletown Ice World
STEP 3: A signature for the “Waiver and Release of Liability” is required for processing.
*PRO-RATING POLICY:
Refunds will be honored for documented medical reasons only.
Prorating is only applicable when signing up for a session after it has begun. Payment is
then required for the entire number of the remaining weeks. There is no pro-rating for
individual classes that may be missed. Prorating is available on a space available basis only.
No discounts for multiple family members.
OFFICE USE ONLY: PAYMENT
BY_______________________AMOUNT_________________________
Amateur Athletic Waiver and Release of Liability
In consideration of being allowed to participate in any skating or related activities at The Garden State Skating Club or
elsewhere sponsored by the Garden State Skating Club, the undersigned acknowledges, appreciates and agrees that:
1. The risk of injury from the activities involved in this program is significant, including the potential for permanent
paralysis and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of
serious injury does exist; and,
2. I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of
the releasees or others, and assume full responsibility for my participation; and,
3. I willingly agree to comply with the stated and customary terms and conditions for participation. If however, I observe
any unusual significant hazard during my presence or participation, I will remove myself from participation and bring
such to the attention of the nearest official immediately; and,
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold
harmless The Garden State Skating Club, its officers, officials, agents and/or employees, other participants,
sponsoring agencies, sponsors, advertisers, and, if applicable, owners and lessors of premises used to conduct the
event (“Releasees”), with respect to any and all injury, disability, death, or loss or damage to person or property,
whether arising from the negligence of the releasees or otherwise.
I have read this release of liability and assumption of risk agreement, fully understand its terms, understand that I have
given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.
______________________________________________________________________________________________
Participant’s Signature Date Signed
For Participants of Minority Age:
(Under age 18 at time of registration)
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree to his/her
release as provided above of all the Releasees, and, for myself, my heirs, assigns, and next of kin, I release and agree
to indemnify the Releasees from any and all liabilities incident to my minor child’s involvement or participation in these
programs as provided above, even if arising from their negligence.
___________________________________________ ________________________________
Parent/Guardian’s Signature Emergency Phone #(s)
_____________________