Summer Learn to Skate Program 2008: File Copy – Please print clearly
Skaters name: ________________________________________DOB: _________________M _____F______
Parents Name: ____________________________________________________Tele # __________________
Address: ___________________________________________Town: _______________Zip ______________
**PLEASE ENTER AN E MAIL ADDRESS, We will send updates and information throughout the year!
(We will not sell or distribute your address to anyone.)
**E-mail address ____________________________________________________________________________
Highest level of skating achieved (please circle the badge level your child is IN)
My child has never skated in a skating program______________ child’s age_______________
Snowplow Sam/Tots: 1, 2, 3 (Ages 3-5) Where Skated _________________
Badge: 1 2 3 4 5 6 7 8 Where Skated _________________
Freestyle: 1 2 3 4 5 6 Where Skated _________________
Please send the completed form to: Wilmington Figure Skating Club, PO Box 219, Wilmington MA. 01887.
Attention Badge Coordinator. Deposit fee of $25.00 due with registration form. Balance due by the first night.
It is the policy of the WFSC not to refund any monies except in those cases where serious injury and/or illness
render that skater unable to participate for an extended period of time. These conditions should be brought to the
attention of the Board of Directors as soon as possible and be supported by a medical note/evaluation.
Injuries/illnesses, which result in a limited absence, will not be considered. NO MAKE UP SESSIONS.
Single blade skates are required: For ages 3-5 & skaters who have never skated: A Helmet is required.
All Classes are from 6:00-6:50 pm.
Parent/Guardian (please sign)________________________________________________________________
All classes are held at the Ristuccia Memorial Arena, 190 Main Street, Wilmington
For further information, please call 978-694-9650.
Please Make Check payable to WFSC:
Summer 2008 Deposit/date ________Check # ________Balance ________Check # ________ PIF _______
Summer Learn to Skate
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Amount Due:
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Fridays 6:00-6:50 p.m.
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July 11 - August 29
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$96.00
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Registration Fee:
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Registration fee good from
7/1/08 - 6/30/2009
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$10.00
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Amount Due:
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$106.00
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