2009-08-04_PR Comm Packet - Laserfiche WebLink

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FALL SESSION 11 WEEKS RSS OSEVILLEKATINGCHOOL TuesdaysSaturday Sept. 8 - Nov. 24,2009Sept. 12 - Nov. 21, 2009 No class Sept. 29 Program #TimeLevelProgram #Time Level 9100.4135:45 - 6:15pmTots 3 - 5 years old 9100.41812:00 - 12:30pmTots 3-5 years old (Helmets Encouraged)(Helmets Encouraged) 9100.4146:15 - 6:45pm6 - 8 years old (Pre-Alpha - Delta)9100.41912:30 - 1:00pm6 - 8 years old 9100.4157:00 - 7:30pm6 -8 years old (Pre-Alpha - Alpha)9100.420 1:00 - 1:30pm9 - 12 years old & Teens 9100.4167:00 - 7:30pmBright Blades9100.421 1:45 - 2:15pmFreestyle 1 9100.4177:30 - 8:00pm9 - 12 years old & Teens9100.422 2:15 - 2:45pmFreestyle 4 & 5 9100.423 2:45 - 3:15pmFreestyle 2 & 3 Roseville Resident Fee $99 Non Resident Fee $111 9100.424 3:30 - 4:00pmFreestyle 8, 9 & 10 Register before Sept. 1, 2009 to avoid a $5 Late Fee 9100.425 4:00 - 4:30pmFreestyle 6 & 7 Register online @ www.cityofroseville.com/skatingcenter or by mail to the address on the form Call 651-792-7007 for additional information. Registration is on a ﬁ rst come, ﬁ rst 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 2661 Civic Center Drive Program # Program Name: Test Passed: Roseville, MN 55113 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 accept those risks. I also agree, in consideration for my being allowed to participate in this 651-792-7007 activity, and on behalf of myself, my heir, executors, administrators and assigns, to release and discharge the City of Roseville, sponsor(s) of the event or activity, and their ofﬁ cers, employees, 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 classiﬁ ed 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 Deparments of the City. Signature: Date: Email: Fee Paid: Date Paid: Check # Taken By: 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 insufﬁ cient enrollment