Syracuse FSC Skating School 2022-23 REGISTRATION FORM

Learn to Skate Registration

Syracuse Figure Skating Club
Skater's Name*

First NameLast Name
USFSA Number (for returning skaters)
DOB*
Gender

MaleFemale
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent / Guardian #1*

First NameLast Name
Phone #*

Area CodePhone Number
Email*
example@example.com
Parent / Guardian #2

First NameLast Name
Have you taken lessons before?*

YesNo
If yes, but not through our Skate School, at what rink?
If you’ve taken lessons before, what is the highest level passed?
WAIVER: As a participant in the Syracuse FSC Skating School Program, it is understood that there are some hazards in this activity, like all other activities. As a member of the Skating School Program, I agree to hold the Three Rivers Athletic Complex/Lysander Youth Hockey Inc DBA Three Rivers Athletic Complex, its officers and principals, and the Syracuse Figure Skating Club, its officers, principals, board members and skating coaches harmless for any loss or injury on this date and any future date.*

I have read, understood, and accepted the Syracuse FSC Skate School Waiver
Refund Policy*

I am also aware and accept that there will be no refunds after the first two lessons.
I give permission to use my (my child’s) photograph for promotional material in the media,on the web site, for press releases and in brochures. (please check one)*

YesNo
There is a one time annual Learn To Skate USA Membership Fee of $21 for all first time 2022-2023 LTS skaters. Please select this fee below if this is your first LTS session for this year.

My Products

Annual Learn to Skate USA Membership$21.00

Saturday-Winter 2023 Learn to Skate$120.00

Total $0.00

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