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
Any questions please call Linda at 835-4204