A non-competitive figure skating program culminating in the Skating Club’s participation in the Winter Carnival Ice Show.

Figure Skating Lessons for children of faculty, staff, and alumni

Limited to Middlebury College ID holders

MINIMUM AGE: 5 YEARS OLD

Lessons for all levels

In-person REGISTRATION and skate sale:

4:30 – 6 p.m.      Wednesday, October 17      Kenyon Lounge

Please help us streamline the membership process by dropping by this registration session to fill out paperwork and submit payment.  If you cannot attend, please send the two forms and payment to Carolyn Craven, Economics Department, Warner Hall, by Wednesday, October 24.  

Make checks out to Allskate. 

Lower fee for on-time registration.

Questions?  Contact Carolyn Craven or Angela Cobrin Landis

(ccraven@middlebury.edu; angela.cobrin.landis@gmail.com)

Skates for sale at registration!  If you have skates to sell, bring them with you and come early, if possible.

MIDDLEBURY COLLEGE

FIGURE SKATING CLUB

REGISTRATION FORM 2012-13

MINIMUM AGE: 5 YEARS.  Children turning 5 by December 31 can skate in the program only if currently enrolled in kindergarten. 

SKATER’S NAME __________________________________________ AGE: ___________

SKATER’S NAME ___________________________________________AGE: ___________

SKATER’S NAME ___________________________________________AGE: ___________

PRIMARY PHONE # _________________________________________

PARENT NAME _____________________________________________

COLLEGE ID # _____________

EMAIL ____________________________________________________________

CAMPUS ADDRESS __________________________________________________

CAMPUS PHONE # ___________________

2^nd PARENT NAME____________________________________  PHONE # ____________

2^nd PARENT E-MAIL________________________________________________________

 Winter Carnival Ice Show

Please read and sign the Middlebury College release form on the next page as well.

Middlebury College – Activities General Release And Covenant Not to Sue This is a release of your legal rights. Review this document carefully and make sure you understand it before signing. Please keep a copy for your records.

Name of Participant (PRINT):______________________________________________________

Telephone No.:_______________Address:____________________________________________

Name of Activity: Figure skating lessons and Ice Show participation

Name of Organizer:  Middlebury College Figure Skating Club

Date and Time of Activity: Sundays and weekday mornings; 2-3 extra rehearsals in February.

Location of Activity: Kenyon Arena

I desire to participate in the above-listed Activity and I fully understand and appreciate the dangers, hazards and risks inherent in the Activity, in traveling to and from the Activity, and in any independent research or activities I undertake as part of the Activity, which dangers include, but are not limited to, serious injury, death, and property damage.

I understand that I am not required to participate in this Activity but I want to do so, despite the known dangers, hazards and risks. I hereby agree to abide by all rules and instructions governing this Activity. I hereby affirm that I have no health-related reasons or problems that preclude or restrict my participation in this Activity and that, if any develop prior to the start of the Activity, I agree to inform Middlebury College about them prior to my being allowed to participate in the Activity.

I am not relying on Middlebury College to supervise or control my participation in this activity, or to warn me of every possible danger associated with it, and I understand that I am solely responsible for assessing my own skill and ability to participate safely in this activity. Knowing the dangers, hazards and risks and in consideration for being allowed to participate, on behalf of myself, my family, estate, heirs, executors, administrators and assigns, I hereby accept all dangers, hazards and risks that may result from my participation in the Activity and I hereby release Middlebury College, its employees and agents from any and all claims, suits and expenses for loss of or damage to my property and for any illness or injury to me, including my death, that may result from or occur during my participation in the Activity, whether caused by the negligence of Middlebury College, its employees or agents, or otherwise, to the fullest extent allowed by law.

I further agree to indemnify and hold harmless Middlebury College, its employees and agents, from all liability, claims, suits, and expenses that may arise out of my own negligent or intentional acts or omissions, while participating in the Activity, and I assume full responsibility for my own actions.

I HAVE CAREFULLY REVIEWED THIS “GENERAL RELEASE AND COVENANT NOT TO SUE” AND I HEREBY CONFIRM MY UNDERSTANDING OF ITS CONTENTS AND AGREE TO BE BOUND BY ITS TERMS AS A CONDITION OF MY PARTICIPATION IN THE ABOVE ACTIVITY.

Parent/Guardian Signature: ____________________________   Date: ______________

Parent/Guardian Name (PRINT):_____________________________________________