ChillZone Summer Skate Camp - Central Iowa Figure Skating Club

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 CENTRALIOWAFSC@GMAIL.COM 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:
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Session 1 Mondays ($120)
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Session 2 Fridays ($120)
 Session 3 August ($120)
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Both Days ($200)