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ROSEVILLE ICE SKATING SCHOOL <br />FALL 2007 - 11 WEEKSESSION <br />TUES ]A �Septe <br />ber — November 20 <br />*No classes September 25''h <br />Prog # <br />Time Level <br />9100.314 <br />9100.315 <br />5:45pm-6.:15pm Tots 3-5 years old <br />6:15prn-6:45pni. 6-8 years old ter <br />9100.316 <br />7:00pm-7:30prn 6-8 years old Parks&Recrecfian department <br />9 100.3 17 <br />7:30ptn-8:00prn 9-12 years old & teens <br />SATURDAY, Seyte ibe ^ November 7 <br />Proe # <br />Time Level <br />9100.318 <br />12:00pm-12:30pm `Pots 3-5 years old <br />9100.319 <br />12:30pna-1 Mpm 6-8 years old <br />9100.320 <br />1:00prn-1:30pn7 9-12 _years old & teens <br />9100.321 <br />1:45pm-2:1.5pnn Freestyle 1 <br />9100.322 <br />2:15prn-2:45pm Freestyle 4 &; 5 <br />9100.323 <br />2:45pm-3:15pm Freestyle 2 & 3 <br />9100.324 <br />3:30ptn-4:00pm Freestyle 8, 9 & 10 <br />9100,325 <br />4:00pin-4:30prn Freestyle 6 & 7 <br />ROSE'VILLE RESIDENT FEE - $99.00 NON -RE DENT FEE - $110.00 <br />REGISTER ONLINE @ <br />www.ci.roseville.mn.us/parks/skafingcenter <br />THERE ARE NO PROVISIONS FOR PRACTICE ICL OR MAKE UP CLASSESH <br />TO AVOID A $5.00 LATE FEE - REGISTRATIONS ARE DUE BY AUGUST 24th. <br />A $8.00 processing charge will be added to all cancellations. <br />Marl: your calendars! The Winter/Spring skating <br />session begins DEC 4. Participation in the Winter/Spring session is required for <br />involvement in the spring ice show. DELI' THE TOP HALF OF THIS FORM FOR YOUR RECORDS <br />Participants Name: <br />Phone: Parent/Guardian <br />Name: <br />Home Address: <br />City: State: Zip: <br />Gender: F M Birthday: Status: New Student— Returning Student____ Test Passed: <br />Program # Program Name: <br />Does participant have any disability, allergy or special need of which we should be aware? Explain: <br />❑ ,r <br />Liability Waiver. i understand that participation in this activity is completely voluntary. I recognize that there are risks in my participation in this <br />N cn <br />C 2 <br />activity. I agree €o accep€ those risks. i also agree, in consideration for my being allowed to participate in this activity, and on behalf of myself, <br />r <br />my heir, executors, administrators and assigns, to release and discharge the City or Roseville, sponser (s) of the event or activity, and their <br />} N <br />officers, em In Les, agents, successors and/or assigns from liability for an and alf indamage or loss that is or may arise from m <br />p Y 9 8 Y Y jury, 9 Y Y <br />participation in this activity, Data Practices Act Netice: Pursuant to the lt4innesota Government Data Practices Act, you are being requesfed f <br />o <br />N Co <br />to furnish certain information that is classitled as private under the Act. The City collects such Information in order to preperiy process <br />requests to participate in activities. You may refuse to provide such information, but such a refusal may affect your ability to participate. The l <br />Information will be maintained by the City Park and Recreation Department, and may be accessible to anyone in the Department, or In other <br />Departments of the <br />City. <br />Da <br />E -Mail: <br />Fee Paid Date Pais! 11Check # I B _ l <br />Visa or MasterCard _ _ _ _.Exp, Data..... - - _..... .................1 <br />The Roseville Skating Center reserves the right to cancel ar adjust any session due to insufficient enrollment <br />