Skaters Release

I/We, the undersigned, hereby acknowledge that certain risks of injury are inherent to participation in figure skating, power skating, and/or recreational activities. These types of injuries may be minor or serious and may result from ones own actions or inactions of other, or a combination of the foregoing. I/We hereby warrant being physically fit to participate in the above activity or activities and understand that the choice to participate being with it the assumption of those risks and results which are part of the activity or activities. I/We hereby release, hold harmless and forever discharge Skate Works Skating Academy and Skate Canada and of their respective staff, coaches and assistants from any and all actions, causes of action, claims and demand for damages, indemnity, costs, interest, loss or injury of every nature and kind whatsoever and howsoever which I/we have had, may have now or may hereafter have in anyway arising from my/our child in connection with any such activity or activities. I/We declare having read and understood the above informed consent agreement in its entirety and hereby consent to participate, acknowledging and agreeing to all the foregoing.

Directors Janis Coyle, 416-733-3284 Teri-Lynn Black Calleri, tsscalleri@rogers.com Coaches Janis Coyle Teri-Lynn Black-Calleri Gord Willemse 416-733-3284 janis.coyle@yahoo.com tsscalleri@rogers.com

ICE WORKS
Skating Academy Summer 2013

Signature of Parent/Guardian

Printed Name of Skater Date: Mail registrations to: Ice Works, c/o Janis Coyle 60 Byng Ave, Suite 2411 North York, ON, M2N 7K3

gordskates@hotmail.com 647-297-7447 Alla Parkomchuk 647-831-6651 alla.park@web.de Barb Lehming-Legace 905-640-1439 sk8lehming@rogers.com Connelly Van Leur 416-550-4239 connelly.van.leur@gmail.com Elaine Hume 416-409-1722 elainehume@rogers.com Galina Chtcheglova 416-357-3229 Jamie Cho 416-505-2459 icefigureskating@hotmail.com Kate Mills 416-312-6112 kmills@rogers.com Ken Langlois 416-937-6153 langlois.ken@gmail.com Kelly Van Buren 416-885-9884 kvanburen@rogers.blackberry.net Lian Novak 416-540-5411 liannovak@hotmail.com Mark Hird 416-992-5308 hird_mark@hotmail.com Raisa Baila 416-454-7465 r_baila@hotmail.com Rebecca Grace 905-707-1845 skatinggrace@hotmail.com Sara Williams sarkuh@rogers.com Shelly Miller 416-529-6377 ziggy980@hotmail.com Stevie Thomas 416-992-3134 steviealicia@gmail.com

St. Michael College School Arena

1515 Bathurst St. Toronto, ON, M5P 3H4 Mail: 60 Byng Ave, Suite 2411 North York, ON, M2N 7K3 Phone: 416-733-3284 Email: janis.coyle@yahoo.com

Summer 2013

Schedule
July 2nd to Aug 2nd 2013
Time: 10am to 5pm Week 1: July 2nd July 6th 10am-5pm Week 2: July 8th July 12th 10am-5pm Week 3: July 15th 19th 10am-5pm Week 4: July 22nd - 26th 10am-5pm Week 5: July 29th Aug 2nd 10am-5pm 10-11am: Open Session 11-1pm: Camp all levels 1-2pm: Lunch 2-3pm: Off Ice Training 3-5pm: Camp all levels Cost: $575 per week (5hrs on ice Includes off ice) $450 per week (4hrs on ice) $250 per week (2hr on ice: 11-1 or 3-5) $150 per week *$50 per week for off ice conditioning *Guest Fee $10 per hour

ICE WORKS Skating Academy

Registration Form 2013 Skater Information Skater: Skate Canada #: OHIP#: Parent/Guardian: Telephone #: Address: City: Email: Emerg. Contact:

Figure Skating Program We offer both recreational and competitive figure skating. Open Ice All Levels Badge level is designed for all skaters and coaches for all levels. Skaters learn all the basic skills such as balance, skating forwards and backwards, stopping, and simple jumps and spins. Power Skating is an action-packed, high energy instructional power skating program geared to hockey and ringette skaters that focuses on balance, power agility, speed and endurance. For skaters aged approximately six or older who already have basic forward and backward skills and are able to stop on command without use of the boards. Adult sessions are for skaters age 17 and older who want to learn basic skating skills such as forward and backward skating, preliminary dance patterns and simple jumps and spins

Badge/Test: Birthday:

Postal Code: Tel#:

Check [] One: Figure Skating

Badge Level

Power Skating Adult

Check [] All Applicable:

July 2 -6 th th July 8 -12 th nd July 29 -Aug 2
nd th

July 15 -19 nd th July 22 -26

th

th

2hrs per day: $250 x weeks = If registering for 2hrs per day please Circle ONE: 11-1 or 3-5 4hrs per day: $450 x 5hrs per day: $575 x Includes Off Ice weeks = weeks =

ICE WORKS Skating Academy aims to develop skaters from beginner to the elite level. We encourage and foster love of the sport through dedication, training and fun.

Off Ice: $50 x

weeks =

Ticket Ice: $10/hr. $20/2hrs Total: Deposit of $150 required by May 20 , 2013 to guarantee spot for summer. No refund except for medical reasons. No make-up classes. Payment by cheque or cash only. Payable to: ICE WORKS
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Seminars TBA