Registration Form

REGISTRATION
“WINTER 2018” Program

Celebrating our 20th 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. Mail completed Registration Forms to the address listed at the bottom of this page. 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 6th, 2018

Please check PROGRAM & TIME (ONE of 16 options)

 
Program
Times
Cost

[ ]

Parent & Tot

2:15 to 2:40 pm

$130.00 + 16.90 HST = $146.90

[ ]

Parent & Tot

2:40 to 3:05 pm

$130.00 + 16.90 HST = $146.90

[ ]

Parent & Tot

3:05 to 3:30 pm

$130.00 + 16.90 HST = $146.90

[ ]

Parent & Tot

3:30 to 3:55 pm

$130.00 + 16.90 HST = $146.90

[ ]

Pre-schooler

2:15 to 2:40 pm

$130.00 + 16.90 HST = $146.90

[ ]

Pre-schooler

2:40 to 3:05 pm

$130.00 + 16.90 HST = $146.90

[ ]

Pre-schooler

3:05 to 3:30 pm

$130.00 + 16.90 HST = $146.90

[ ]

Pre-schooler

3:30 to 3:55 pm

$130.00 + 16.90 HST = $146.90

[ ]

Learn to Skate

2:15 to 3:05 pm

$230.00 + 29.90 HST = $259.90

[ ]

Learn to Skate

3:05 to 3:55 pm

$230.00 + 29.90 HST = $259.90

[ ]

Learn to Figureskate

2:15 to 3:05 pm

$230.00 + 29.90 HST = $259.90

[ ]

Learn to Figureskate

3:05 to 3:55 pm

$230.00 + 29.90 HST = $259.90

[ ]

Adult Learn to Skate

2:15 to 3:05 pm

$230.00 + 29.90 HST = $259.90

[ ]

Adult Learn to Skate

3:05 to 3:55 pm

$230.00 + 29.90 HST = $259.90

[ ]

Hockey Skating Skills Development

2:15 to 3:05 pm

$230.00 + 29.90 HST = $259.90

[ ]

Hockey Skating Skills Development

3:05 to 3:55 pm

$230.00 + 29.90 HST = $259.90

10 WEEK PROGRAM - Art Thompson Arena, Pickering

Sundays, starting January 7th, 2018

Please check PROGRAM & TIME (ONE of 8 options)

 
Program
Times
Cost

[ ]

Parent & Tot

3:00 to 3:25 pm

$130.00 + 16.90 HST = $146.90

[ ]

Parent & Tot

3:25 to 3:50 pm

$130.00 + 16.90 HST = $146.90

[ ]

Pre-schooler

3:00 to 3:25 pm

$130.00 + 16.90 HST = $146.90

[ ]

Pre-schooler

3:25 to 3:50 pm

$130.00 + 16.90 HST = $146.90

[ ]

Learn to Skate

3:00 to 3:50 pm

$230.00 + 29.90 HST = $259.90

[ ]

Learn to Figureskate

3:00 to 3:50 pm

$230.00 + 29.90 HST = $259.90

[ ]

Adult Learn to Skate

3:00 to 3:50 pm

$230.00 + 29.90 HST = $259.90

[ ]

Hockey Skating Skills Development

3:00 to 3:50 pm

$230.00 + 29.90 HST = $259.90

 

10 WEEK PROGRAM - Ajax Community Centre, Ajax

Wednesdays, starting January 10th, 2018 on Rink #4

Please check PROGRAM & TIME (ONE of 7 options)

 
Program
Times
Cost

[ ]

Parent & Tot

5:10 to 5:35 pm

$130.00 + 16.90 HST = $146.90

[ ]

Parent & Tot

5:35 to 6:00 pm

$130.00 + 16.90 HST = $146.90

[ ]

Pre-schooler

5:10 to 5:35 pm

$130.00 + 16.90 HST = $146.90

[ ]

Pre-schooler

5:35 to 6:00 pm

$130.00 + 16.90 HST = $146.90

[ ]

Learn to Skate

5:10 to 6:00 pm

$230.00 + 29.90 HST = $259.90

[ ]

Learn to Figureskate

5:10 to 6:00 pm

$230.00 + 29.90 HST = $259.90

[ ]

Hockey Skating Skills Development

5:10 to 6:00 pm

$230.00 + 29.90 HST = $259.90

10 WEEK PROGRAM – Luther Vipond Arena, Brooklin

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

[ ]  Tuesdays, starting January 9th, 2018 
      or 
[ ]  Thursdays, starting January 11th, 2018

Please check PROGRAM & TIME (ONE of 7 options)

 
Program
Times
Cost

[ ]

Parent & Tot

4:05 to 4:30 pm

$130.00 + 16.90 HST = $146.90

[ ]

Parent & Tot

4:30 to 4:55 pm

$130.00 + 16.90 HST = $146.90

[ ]

Pre-schooler

4:05 to 4:30 pm

$130.00 + 16.90 HST = $146.90

[ ]

Pre-schooler

4:30 to 4:55 pm

$130.00 + 16.90 HST = $146.90

[ ]

Learn to Skate

4:05 to 4:55 pm

$230.00 + 29.90 HST = $259.90

[ ]

Learn to Figureskate

4:05 to 4:55 pm

$230.00 + 29.90 HST = $259.90

[ ]

Hockey Skating Skills Development

4:05 to 4:55 pm

$230.00 + 29.90 HST = $259.90

Please Note:

Classes will be cancelled on Sunday, February 25th, 2018.  We will be running one additional week to make up this class.

 

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 # 876574625.
  • 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.

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, mail all pages, along with your cheque or money order, made payable to Edges Learn to Skate to:

Edges Learn to Skate,

609 Graceland Court,

Pickering, Ontario,

L1V 6N9