Norwich and District Skating Club 2015 Summer Registration Form REGISTRATION DEADLINE IS MAY 30, 2015 (All programs are subject to change depending on registration numbers) Program Period: July 6, 2015 -‐ August 26, 2015 (8 Weeks) NO VOLUNTEER FEE Name:_________________________________________________Birthdate:________________________
Parents Names:__________________________________________ Gender:
M/F
Address:_______________________________________________ Home Phone:_____________________
Email: _________________________________________________Skate Canada #: ___________________
Home Club: ____________________________________________ Coach(es)________________________
Schedule & Fees (If skating one day per week circle choice of day below)
**Club coach is provided for Canskate A, B, Session 1 and on-ice stroking sessions. CANSKATE A (4 yrs and under as of Dec 31/13) CANSKATE B (5 yrs and over as of Dec 31/13) SESSION 1 (Must have passed stage 6 of Canskate program) SESSION 2 (Must have passed Preliminary Skills, Jr. Bronze Dances and working on Preliminary Freeskate SESSION 3 (Must have passed 2 Jr. Silver Dances and Jr. Bronze Freeskate or be 16 yrs old as of Dec 31/13) Total Monday 4:00pm -‐ 4:30pm Wednesday 4:00pm -‐ 4:30pm Monday 4:00pm -‐ 4:45pm Wednesday 4:00pm -‐ 4:45pm Monday 4:30pm -‐ 6:00pm Wednesday 4:30pm -‐ 6:00pm Bulk Buy Monday 5:00pm -‐ 6:50pm Wednesday 5:00pm -‐ 6:50pm Bulk Buy Monday 5:00pm -‐ 6:50pm Wednesday 5:00pm -‐ 6:50pm Power Skating –
1 Day/Week $100 $ 2 Days/Week $160 $ 1 Day/Week $150 $ 2 Days/Week $225 $ 1 Day/Week $185 $ 2Days/Week
$290 10 session $210 $ $ 1 Day/Week $195 $ 2 Days/Week $330 10 sessions $230 $ $ 1 Day/Week $195 $ 2 Days/Week $330 $ Week 1
August 17-21 9-11am
$165.00
$
(program will only run if numbers allow)Week 2 August 24-28 9-11am
$165.00
$
Fee Summary
$___________
Program Fee
$___________
3rd Child Discount (10% of total program fee)
$
35.00
Skate Canada Fee (New Skaters Only)
$___________
Total Owing
Paid by: CASH
_____
CHEQUE_____
For more information contact:
Angela Simpson (519) 468-3422 [email protected]
Krista Doan (519) 468-3270 [email protected]
Marissa Wills (519)468-3562 [email protected]
Mail form and payment to: NDSC, P.O. Box 621, Norwich, Ont., N0J 1P0