2010-10-05_PR Comm Packet - Laserfiche WebLink

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rVII 0 n1i ��I��II))1lIUJlllllfr ll�l I9ii J�allllllllll11111i1i1 T H E 2 .41 2 11 J OW parks&Recreation Department Novice ee " 2r Join the Novice Speedskating Program and take your first strides toward Olympic GOLD. Boys and girls ages 4-14 are invited to join and learn the fundamentals and proper techniques of speedskating in a fun environment with experienced speedskating coaches. Participants must be able to skate independently. Speedskates are available to rent for the season, but not required. Optional meets with awards will be held throughout the season and awards will be presented to all skaters at the end of year potluck banquet. Register by November 10. Practice ice available to both classes from 5:20-5:40pm. Mandatory orientation meeting (parents and skaters) Wed, November 17 at 6:30pm at the OVAL. Program # Time: Date: 9100.462 Tu, Th Session 1 4:30- 5:20 pm Nov 30 - Feb 24 9100.463 Tu, Th Session 11 5:40- 6:30 pm Nov 30 - Feb 24 *No class December 28 & 30 Fee:$90 Regular/$80 Roseville Resident 0 x A 01% Register Online @ www.cityofroseville.com/skatingcenter More information at www.rosevillespeedskating.org or www.midwayspeedskating.org - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - 2010 - 2011 Novice Speed Skating -Participants Name: Phone: Parent/Guardian Name: Home Address: City: State: Zip: BIRTHDATE: Skating Experience(circle one) speedskating hockey skate without assistance GENDER(circle one): F M PROGRAM#: PROGRAM NAME: Does participant have any disability,allergy or special need of which we should be aware? Explain- Liability Waiver:I understand that participation in this activity is completely voluntary.I recognize that there are risks in my participation in this activity.I agree to Lo w accept those risks.I also agree,in consideration for my being allowed to participate in this activity,and on behalf of myself,my heir,executors,administrators CD Z =I.., and assigns,to release and discharge the City or Roseville,sponsor(s)of the event or activity,and their officers,employees,agents,successors and/or assigns from F A a L) > M liability for any and all injury,damage or loss that is or may arise from my participation in this activity. V_ 0 P.- I. N0 cU.)m Data Practices Act Notice:Pursuant to the Minnesota Government Data Practices Act,you are being requested to furnish certain information that is classified as private under the Act.The City collects such information in order to properly process requests to participate in activities.You may refuse to provide such information, but such a refusal may affect your ability to participate.The information will be maintained by the City Park and Recreation Department,and may be accessible to anyone in the Department,or in other Departments of the City. Signature: Date: E-Mail: Fee Paid Date Paid Check# By LVisa or MasterCard# Ex p Date