Registration Form

REGISTRATION
“Winter 2020” Program

Celebrating our 22nd Year!

Please follow these instructions carefully:

Print out this entire web page. Fill in all applicable areas between the dash lines. Read the Terms and Conditions near the bottom of the page. Print your name, date the Registration Form and sign it in the appropriate areas. Please scan and email the registration form to info@edgeslearntoskate.com. Once the registration form is received, we will provide you with instructions for e-transfer payments. PLEASE REGISTER PROMPTLY TO ENSURE YOUR SPACE, AS CLASSES FILL UP VERY QUICKLY.

------ FILL IN ALL APPLICABLE AREAS BELOW ------

Student's Name:

   

Address

     

City:

     

Postal Code:

     

Email Address:

     

Birth Date:

 

Age:

                 

Home Phone:

 

Work Phone:

      
 

Female Student: [ ]

Male Student: [ ]

 

Do you have any health matters or allergies that we should be aware of?

 
 

PROGRAM CHOICE: (Please check ONE of the following 6 options):

[ ]Parent & Tot
[ ]
Pre-schooler
[ ]
Learn to Skate
[ ]
Learn to Figureskate
[ ]
Adult learn to Skate
[ ]
Hockey Skating Skills Development Program

Have you participated in the EDGES program before?

[ ]

YES

[ ] NO

If YES, please indicate last level passed:

If new registrant, how did you hear about us?

 

    

10 WEEK PROGRAM - Pickering Village Arena, Ajax

Saturdays, starting January 4th, 2020

Please check PROGRAM & TIME (ONE of 16 options)

 
Program
Times
Cost

[ ]

Parent & Tot

2:15 to 2:40 pm

$140.00 + 18.20 HST = $158.20

[ ]

Parent & Tot

2:40 to 3:05 pm

$140.00 + 18.20 HST = $158.20

[ ]

Parent & Tot

3:05 to 3:30 pm

$140.00 + 18.20 HST = $158.20

[ ]

Parent & Tot

3:30 to 3:55 pm

$140.00 + 18.20 HST = $158.20

[ ]

Pre-schooler

2:15 to 2:40 pm

$140.00 + 18.20 HST = $158.20

[ ]

Pre-schooler

2:40 to 3:05 pm

$140.00 + 18.20 HST = $158.20

[ ]

Pre-schooler

3:05 to 3:30 pm

$140.00 + 18.20 HST = $158.20

[ ]

Pre-schooler

3:30 to 3:55 pm

$140.00 + 18.20 HST = $158.20

[ ]

Learn to Skate

2:15 to 3:05 pm

$240.00 + 31.20 HST = $271.20

[ ]

Learn to Skate

3:05 to 3:55 pm

$240.00 + 31.20 HST = $271.20

[ ]

Learn to Figureskate

2:15 to 3:05 pm

$240.00 + 31.20 HST = $271.20

[ ]

Learn to Figureskate

3:05 to 3:55 pm

$240.00 + 31.20 HST = $271.20

[ ]

Adult Learn to Skate

2:15 to 3:05 pm

$240.00 + 31.20 HST = $271.20

[ ]

Adult Learn to Skate

3:05 to 3:55 pm

$240.00 + 31.20 HST = $271.20

[ ]

Hockey Skating Skills Development

2:15 to 3:05 pm

$240.00 + 31.20 HST = $271.20

[ ]

Hockey Skating Skills Development

3:05 to 3:55 pm

$240.00 + 31.20 HST = $271.20

10 WEEK PROGRAM - Pickering Village Arena, Ajax

Sundays, starting January 5th, 2020

Please check PROGRAM & TIME (ONE of 7 options)

 
Program
Times
Cost

[ ]

Parent & Tot

12:10 to 12:35 pm

$140.00 + 18.20 HST = $158.20

[ ]

Parent & Tot

12:35 to 1:00 pm

$140.00 + 18.20 HST = $158.20

[ ]

Pre-schooler

12:10 to 12:35 pm

$140.00 + 18.20 HST = $158.20

[ ]

Pre-schooler

12:35 to 1:00 pm

$140.00 + 18.20 HST = $158.20

[ ]

Learn to Skate

12:10 to 1:00 pm

$240.00 + 31.20 HST = $271.20

[ ]

Learn to Figureskate

12:10 to 1:00 pm

$240.00 + 31.20 HST = $271.20

[ ]

Hockey Skating Skills Development

12:10 to 1:00 pm

$240.00 + 31.20 HST = $271.20

 

10 WEEK PROGRAM - Ajax Community Centre, Ajax

Wednesdays, starting January 8th, 2020 on Rink #4

Please check PROGRAM & TIME (ONE of 5 options)

 
Program
Times
Cost

[ ]

Pre-schooler

5:10 to 5:35 pm

$140.00 + 18.20 HST = $158.20

[ ]

Pre-schooler

5:35 to 6:00 pm

$140.00 + 18.20 HST = $158.20

[ ]

Learn to Skate

5:10 to 6:00 pm

$240.00 + 31.20 HST = $271.20

[ ]

Learn to Figureskate

5:10 to 6:00 pm

$240.00 + 31.20 HST = $271.20

[ ]

Hockey Skating Skills Development

5:10 to 6:00 pm

$240.00 + 31.20 HST = $271.20

10 WEEK PROGRAM – Luther Vipond Arena, Brooklin

Please check preferred START DATE: (ONE of 2 options)

[ ]  Tuesdays, starting January 7th, 2020 
      or 
[ ]  Thursdays, starting  January 9th , 2020

Please check PROGRAM & TIME (ONE of 5 options)

 
Program
Times
Cost

[ ]

Pre-schooler

4:05 to 4:30 pm

$140.00 + 18.20 HST = $158.20

[ ]

Pre-schooler

4:30 to 4:55 pm

$140.00 + 18.20 HST = $158.20

[ ]

Learn to Skate

4:05 to 4:55 pm

$240.00 + 31.20 HST = $271.20

[ ]

Learn to Figureskate

4:05 to 4:55 pm

$240.00 + 31.20 HST = $271.20

[ ]

Hockey Skating Skills Development

4:05 to 4:55 pm

$240.00 + 31.20 HST = $271.20

Please Note:

 

Terms and Conditions

  • Phone confirmation will be made to you on receipt of completed Registration Form and Program Fee.
  • All cheques payable to Edges Learn To Skate HST Registration #779068071.
  • There will be no refunds once the session begins.
  • $30.00 Non-refundable administration fee for cancellations prior to start of session.
  • $30.00 Administration fee for NSF cheques.
  • We regret that make-up classes are not available.
  • All skaters must wear a CSA approved ice hockey helmet and face mask.

The applicant agrees that Edges Learn To Skate, its Directors, Agents, Employees and any other persons or corporation connected herewith will not be responsible for any accident, injury or loss, however caused and agrees to release the above mentioned from all claims or damages which may arise as a result of or by any reason of such accident, injury or loss.

With registration, I authorize Edges Learn To Skate to publish photographs taken of me and/or the undersigned minor children, for use in the Edges Learn To Skate printed and online publications. I release the Edges Learn To Skate from any expectation of confidentiality for the undersigned minor children and myself and attest that I am the parent or legal guardian of the children listed below and that I have the authority to authorize Edges Learn To Skate to use their photographs, videos and names. I acknowledge that since participation in publications and website produced by the Edges Learn To Skate confers no rights of ownership whatsoever. I release the Edges Learn To Skate, its contractors and its employees from liability for any claims by me or any third party in connection with my participation or the participation of the undersigned minor children.

Parent / Guardian's Name (Please Print):    
Date:    Signature:   

 

 

 

------ FILL IN ALL APPLICABLE AREAS ABOVE THIS LINE ------­

When you have completed filling out this Registration Form, please scan and email the registration form to info@edgeslearntoskate.com.
Once the registration form is received, we will provide you with instructions for e-transfer payments.