ECFSC Guest Skater Registration

2008-2009

Skater / Member Name Birth Date:

Street Address

City State Zip Phone

Gender M F USFSA/ISI #____________________________

Parent/Guardian Name (if applicable)

Parent/Guardian Address (if different than above)

Home Club___________________________

Local information where you can be reached:

Local Address:________________________________________________________

Local phone:_________________________________________

Prices: Freestyle (1 hr) $8.50

Moves (1/2 hr) $5.50

Guest skater privileges are offered to skaters from out of town for a maximum of 12 days per year unless approved by president of club.

Rink Monitor to complete:

Beginning Date:____________ (date of 1^st session) Ending Date:___________________(1year from 1^st date)

Date #1-	Date #2-	Date #3-	Date #4-	Date #5-	Date #6
Session #	Session #	Session #	Session #	Session #	Session #
Session #	Session #	Session #	Session #	Session #	Session #
Session #	Session #	Session #	Session #	Session #	Session #
Session #	Session #	Session #	Session #	Session #	Session #
Monitor	Monitor	Monitor	Monitor	Monitor	Monitor

Date #7-	Date #8-	Date# 9-	Date #10-	Date #11-	Date #12
Session #	Session #	Session #	Session #	Session #	Session #
Session #	Session #	Session #	Session #	Session #	Session #
Session #	Session #	Session #	Session #	Session #	Session #
Session #	Session #	Session #	Session #	Session #	Session #
Monitor	Monitor	Monitor	Monitor	Monitor	Monitor

Rink Monitor-

Completed forms (registration, courtesies and permission) should be filed in the rink monitor book under Guest skaters.

Payment (checks payable to ECFSC) must be placed in Treasurer folder in Pro-Parent room use provided envelope and complete information.

Eau Claire Figure Skating Club

Waiver and Release of Liability, Assumption of Risk, & Indemnity Agreement

In consideration of participating in Eau Claire Figure Skating Club activities, I represent that I

understand the nature of figure skating activities (“activity”) and that I am qualified, in good health and in proper

physical condition to participate in such “activity”. I acknowledge that if I believe event conditions are unsafe, I

will immediately discontinue participation in the “activity”.

I fully understand that this “activity” involves risks of serious bodily injury, including permanent disability,

paralysis and death, which may be caused by my own actions, or inactions, those of others participating in the

“activity”, the conditions in which the “activity” takes place, or the negligence of the “releasees” named below;

and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully

accept and assume all such risks and all responsibility for losses, costs, and damages I incur as a result of my

participation in the “activity”.

I hereby release, discharge, and covenant not to sue the Eau Claire Figure Skating Club, United

States Figure Skating, it’s directors, officers, administrators, sponsors, volunteers, agents, employees, staff,

instructors, trainers, other participants and if applicable, owners and lessors of premises on which the “activity”

takes place (each considered one of the “Releasees” herein) from all liability, claims, demands, losses, or

damages on my account caused or alleged to be caused in whole or in part by the negligence of the “releasees”

or otherwise, including negligent rescue operations; and I further agree that if, despite this release, waiver of

liability, and assumption of risk, I, or anyone on my behalf, makes a claim against any of the Releasees, I will

indemnify, save, and hold harmless each of the releasees from any loss, liability, damage, or cost which any may

incur as the result of such claim.

The Eau Claire Figure Skating Club has the right, but not the obligation, to provide rules, regulations

and/or ice monitors for Club Ice. We hereby acknowledge that the Eau Claire Figure Skating Club shall

not be responsible for the supervision of the members at Club Ice.

I have read this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid, the balance, notwithstanding, shall continue in full force and effect.

______________________________ ______________________________ _______________

Printed Name of Participant Signature of Participant Date

Below section must be completed by Parent/Guardian for any participant under the age of 18.

PARENTAL CONSENT AND INDEMNIFICATION AGREEMENT

I, the minor’s parent and/or legal guardian, understand the nature of the above referenced activities and the

minor’s experience and capabilities and believe the minor to be qualified to participate in such “activity”. I

hereby release, discharge, covenant not to sue and AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS each of the Releasees from all liability, claims, demands, losses, or damages on the minor’s account caused or alleged to have been caused in whole or in part by the negligence of the Releasees or otherwise, including negligent rescue operations, and further agree that if, despite this release, I, the minor, or anyone on the minor’s behalf makes a claims against any of the above Releasees, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS each of the Releasees from any litigation expenses, attorney fees, loss liability, damage, or cost any Releasees may incur as the result of any such claim.

_________________________________ ______________________________ _________

Printed Name of Parent/Guardian Signature of Parent/Guardian Date

RETURN TO Membership FOLDER

(folder on top of desk)

Consent for Medical Attention or Treatment 2008-2009

I certify that I, the member, or I, the parent/guardian of said participant, give my consent to the

the facility the activities are taking place in and their staff and to members of the Eau Claire Figure Skating Board, their Board of Directors and volunteers to obtain medical care from any licensed physician, hospital or clinic, including transportation and emergency medical services, for myself/ourselves and/or said participant for any injury that could arise from participation in these activities.

________________________________________ _______________________________________

Name of 1st Minor Child Member (please print) Name of 2nd Minor Child Member (please print)

Signature of 1^st parent or guardian:____________________________ Date_______

Signature of 2nd parent or guardian:___________________________ Date_______

Home phone number_________________________

Father/male guardian_________________________

Cell Phone #________________________________

Work phone #_______________________________

Mother/female guardian_______________________

Cell Phone #________________________________

Work phone #_______________________________

Alternative contact person______________________

Relationship__________________________________

Phone #_____________________________________

Insurance carrier:_____________________________

Insurance Group #_________________________ Policy #___________________

This Consent for Medical Attention shall be binding and effective for the 2008 TO 2009 membership year.

.

PLACE IN RINK MONITOR BOOK

Eau Claire Figure Skating Club

SKATING COURTESIES & POLICIES

1. Respect is to be shown toward every Pro, rink supervisor, parent, rink personnel, and skater at all times.

2. Only 22 skaters are allowed on the ice per session.

3. Check your name off on the session sheet or with the rink monitor before you take the ice.

4. If you are buying random ice (ice not originally contracted for), make arrangements with the rink monitor before taking the ice.

5. RIGHT OF WAY ON FREESTYLE: Skaters skating their programs who are wearing the orange belt have the right of way – please learn to recognize skaters’ programs so you can avoid skating in their paths. If you do not know whose music is playing, please ASK.

6. Music will be played at rinkside during summers; put your tape in order if you wish to have it played. Skaters having lessons have priority for music. If music is stopped before completion, the tape is moved to the end of the line of tapes. Skaters should return their tapes to the cases at the end of the session.

7. “Heads Up” will be used if someone is in your way or a skater is approaching an area and skaters and/or coaches are not aware. If you inadvertently get in someone’s way, apologize and return to skating. “I’m sorry” and “Thank you” should be used frequently on the ice.

8. Spins are practiced in the middle of the rink; jumps are done at the ends unless skaters are skating their programs with/without music.

9. Please vary your practice areas to avoid interference with skaters’ programs.

10. If you fall and are not seriously hurt, get up as quickly as you can to avoid injury to yourself and others.

11. Do not stand on the ice! If you are not moving, you should be able to touch the boards. Not moving on the ice is forbidden!

12. Do not kick the ice in frustration or play; the hole you leave could injure you or another skater.

13. No skater is to sit in the boxes unless you are injured or need to retie skates. Observers or skaters who have not contracted for the session should not sit in the boxes either. This tends to distract the skaters. Observers should sit in the stands.

14. There is no sitting on the boards at any time.

15. Moves patterns may only be skated during moves sessions and the first 15 minutes of freestyle sessions.

16. The middle 10 minutes of every moves session will be skated in a clockwise direction.

17. During the moves sessions, please use the blue and center red lines when working on edges. If the lines are being used, please wait until one is open. Do not use the end red lines.

18. Leave the ice immediately upon entrance of the Zamboni to the rink – last minute jumps before the Zamboni approaches are unacceptable.

19. During the summer especially, skaters from other clubs may be skating on ECFSC contract ice. Let’s help create a positive image for our club by being friendly and helpful to them, both on and off the ice. Treat them the way you would like to be treated if you were a visiting skater at another rink.

20. Many skaters need to use the ECFSC dressing room. Do your part to keep the atmosphere pleasant by treating fellow skaters with courtesy and respecting each other’s belongings.

21. Do your part to keep the dressing room livable. Please do not leave garbage on the floor or the benches. If you don’t pick it up, someone else will have to, and you’ll be creating a negative rather than a positive image of the ECFSC.

I, _______________________________________, have read and understand the ECFSC Skating Courtesies and Policies. I have also attended an ECFSC ice rules/courtesies meeting, or I have gone over these policies with an ECFSC Coach/Pro and an ECFSC Board member. By my signature below, I state my intention to follow these policies and courtesies to the best of my ability.

Skater Signature: ____________________________________________ Date: _______________

Rink Monitor or ECFSC coaach___________________________________________________

PLACE IN RINK MONITOR BOOK-Back pocket

GUEST SKATER PAYMENT Envelope Date:_________

Ice sessions	Fee	# of Sessions	Total Fee Due
Freestyle	$8.50
Moves	$5.00

Rink Monitor__________________________________ total money collected $___________

May put check inside, fold and staple—PUT in Treasurer folder (on top of desk)