ECFSC ICE CONTRACT APPLICATION FORM

 

 

DATE: _______________________________

 

 

Skater name: ___________________________________________________

 

Home phone: _____________    

 

USFSA#: _______________________  

 

Coach: ____________________________   Home club: ________________________________

 

 

 

                                                           ICE REQUEST SUMMARY

                                                                                       Full/ Assoc & Alumni/Summer Assoc.

                                                                                                                

Total Freestyle Sessions   ________________ X $7.50/$8.50/$9.00= ___________              

 

Total Short Freestyle Sessions ____________  X $6.00/$7.00/$7.50= ___________

 

Total Moves Sessions  ___________________ X $4.50/$5.00/$5.50= __________

 

Total Exhibition Sessions __________________X $6.75/$7.25/$7.75= __________

       

        Subtotal                                                                                        $__________

 

        Ice contract overpayment voucher credit                                      -$__________

       

        Rink Monitor credit                                                                    -$ __________

       

 

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:      Jeff / Crystal Erickson

1706 Peterson Ave.

Eau Claire WI 54703

 

Any questions please call :         Jeff Erickson                 559-2274

Crystal Erickson           559-2259