ECFSC ICE CONTRACT APPLICATION FORM

 

 

DATE: _______________________________

 

 

Skater name: ___________________________________________________

 

Home phone: _____________    

 

USFSA#: _______________________  

 

Coach: ____________________________   Home club: ________________________________

 

 

 

                                                           ICE REQUEST SUMMARY

                                                                                                                Full/ Assoc.

 

Total Freestyle Sessions   _____________________      X $6.50/$7.50= ___________              

 

Total Short Freestyle Sessions __________________     X $5.25/$6.25= ___________

 

Total Moves Sessions  ________________________      X $4.00/$4.50= ___________

 

Total Exhibition Sessions ______________________     X $6.00/$6.50= ___________

       

          Subtotal                                                                                             $__________

 

        Ice contract overpayment voucher                                                  -$__________

       

        Rink Monitor                                                                                   -$ _________

       

 

Total amount due with contract application                                                 $__________

 

 

Contracts will not be honored if payment due is not paid.

Double check your contract application totals.

Make checks payable to ECFSC

Use separate envelopes and separate payments for each skater contract submitted.

Submit a separate check for random ice payments.

 

Mail completed application and payment to:  Linda Krueger

                                                                         815 Plum St.

                                                                         Eau Claire WI 54703

 

Any questions please call Linda at 835-4204