2009-12-01_PR Comm Packet - Laserfiche WebLink

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TI'L.J� WINTER/SPRING SESSION 16 WEEKS ROSEVILLE,'SKATING SCHOOL 9100.437 7:00 - 7:30pm Bright Blades 9100.438 7:30 - 8:00pm 9 - 12 years old & Teens Roseville Resident Fee $147 Non -Resident Fee $163 Register before Nov 24, 2009 to avoid a $5 Late Fee 9100.442 Tuesdays Freestyle 1 &2 Saturday 2:15 - 2:45pm Dec. 1 -Apr. 13, 2010 9100.443 Dec. 5 -Apr. 17, 2010 No class held on Dec. 22 & 29, Jan. 26 and Feb. 16 No class held on Dec. 26, Jan. 16 & 30 and Mar. 6 Freestyle 8, 9 & 10 9100.446 4:00 - 4:30pm See back for time change on Feb. 13 Program # Time Level Program # Time Level 9100.434 5:45 - 6:15pm Tots 3 - 5 years old 9100.439 12:00 - 12:30pm Tots 3-5 years old v (Helmets Encouraged) executors, administrators and assigns, to release and discharge the City of Roseville, sponsor(s) of the event or activity, and their officers, employees, (Helmets Encouraged) 9100.435 6:15 - 6:45pm 6 - 8 years old (Pre -Alpha - Delta) 9100.440 12:30 - 1:00pm 6 - 8 years old 9100.436 7:00 - 7:30pm 6 -8 years old (Pre -Alpha - Alpha) 9100.441 1:00 - 1:30pm 9 - 12 years old & Teens 9100.437 7:00 - 7:30pm Bright Blades 9100.438 7:30 - 8:00pm 9 - 12 years old & Teens Roseville Resident Fee $147 Non -Resident Fee $163 Register before Nov 24, 2009 to avoid a $5 Late Fee 9100.442 1:45 - 2:15pm Freestyle 1 &2 9100.444 2:15 - 2:45pm Freestyle 3 & 4 9100.443 2:45 - 3:15pm Freestyle 5 9100.445 3:30 - 4:00pm Freestyle 8, 9 & 10 9100.446 4:00 - 4:30pm Freestyle 6 & 7 Register online g www.cityofroseville.com/skatingcenter or by mail to the address on the form Call 651-792-7007 for additional information. Registration is on a first come, first served basis. *An $8.00 processing charge will be added to all cancellations* — — — — — — — — — — — — — — — — — — — — — — — — — — Participants Name: Phone: Parent/Guardian Name: Home Address: City: State Zip: Gender(circle one): F M Birthdate: Status: New Student Returning Student Program 4 Program Name: Test Passed: ODoes 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 accept those risks. I also agree, in consideration form being allowed to participate in this activity, and on behalf of myself, m heir, n' g p g y g p p tS', y y , v executors, administrators and assigns, to release and discharge the City of Roseville, sponsor(s) of the event or activity, and their officers, employees, Qj agents, successors and/or assigns from liability for any and all injury, damage or loss that is or may arise from my participation in this activity. Data Practices Act Notice: Pursuant to the Minnesota Government Data Practicies Act, you are being requested to furnish certian 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 0 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 NRecreation Department, and may be accessible to anyone in the Department, or in other Deparments of the City. Si nature: Date: Email: Fee Paid: Date Paid: Cash Check # Taken B : Visa or Matercard # Exp. Date There are no provisions for practice ice or makeup classes. The Roseville Skating Center reserves the right to cancel or adjust any session due to insufficient enrollment