2021-11-4_PR_Comm Packet - Laserfiche WebLink

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ROSEVILLE SKATING SCHOOL WINTER-SPRING2021-2022/ 16WEEK SESSION (REGISTRATION BEGINS OCTOBER 12) Tuesdays, November 30–April 19(No Class 12/28, 1/11, 1/25, 2/15, 3/15) PROGRAM# TIME LEVEL 9101.059 5:45 -6:15pmTots 3-5 yearsold(Helmets & Mittens Encouraged) (Helmets & Mittens Encouraged) 9101.060 6:15 -6:45pmTots 3-5 years old 9101.061 6:15 -6:45pm6-8 years old 9101.062 6:45-7:15pm6-8years old 9101.064 7:15 -7:45pm9-18years old 9101.065 7:15 -7:45pmAdults Saturdays, December 4*–April 23( No Class12/25, 1/1, 2/5, 2/12, 3/12) Dec 4 Class Times on Back PROGRAM #TIMELEVEL 9101.066 8:00 -8:30amFreestyle 1 & 2 9101.067 8:30 -9:00amPower/Edge Class 9101.068 9:00 -9:30amFreestyle 3 & 4 9101.069 9:45-10:15amFreestyle 5 & 6 9101.070 11:15–11:45amFreestyle 7 -10 9101.071 12:00–12:30pmTots 3-5 yrs old (Helmets & Mittens Encouraged) 9101.072 12:30 -1:00pm6-8 years old 9101.073 1:00 –1:30pm9-18 years old REGULARFEE $175.00 / ROSEVILLE RESIDENT FEE $165.00 TO AVOID A $5.00 LATE FEE -REGISTER BEFORE NOV30/DEC 4 REGISTER ONLINE @ www.skatetheoval.com An $8.00 processing charge will be added to all cancellations.Registrations acceptedon a first come, first served basis. * THERE ARE NO PROVISIONS FOR PRACTICE ICE OR MAKE-UP CLASSES * Please call 651-792-7007for additional information.Mail registrations to address onform. KEEP THE TOP OF THIS FORM FOR YOUR INFORMATION Participants Name:Phone:Parent/Guardian Name: Home Address:City:State:Zip: GENDER (circle one): F M BIRTHDATE:____________ STATUS: New Student _____ Returning Student_____ PROGRAM #: ______________ PROGRAM NAME:_____________________ TEST PASSED:_____________________ 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 activity, and on behalf of myself, my heir, executors, administrators 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 liability for any and all injury, damage or loss that is or may arise from my participationin this activity. 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 RecreationDepartment, and may be accessible to anyone in the Department, or in otherDepartments of the City. Signature: Date: E-Mail: Fee Paid:Date Paid:Check #:By: Visa or MasterCard #: CCV#:Exp Date: Roseville Skating Center reserves the right to cancel or adjust any session due to insufficient enrollment.