PLEASE PRINT CLEARLY
Skater’s Name ___________________________
LTS USA Basic Skills #_____________________
Birth Date ___________________ Age ________
1st Class ________ Day _______ Time ________
2nd Class________ Day________ Time________
Parent/Guardian
Name:__________________________________
Address:________________________________
City:____________________________________
State:_________ Zip:___________
Daytime Phone:__________________________
Email Address:__________________________
SUMMER - TERM 7
Name on Credit Card _______________________
Credit Card Visa ___ Disc____ Master Card ___
July 24—August 30, 2017
Credit Card # ______________________________
Welcome to the Ice Land USA
Exp. Date __________________
WAIVER FORM
In consideration of being allowed to participate in any way in Ice
Land USA programs, related events and activities, the undersigned
acknowledges, appreciates, and agrees that:
1) The risk of injury from the activities involved in this program is
significant, including the potential for permanent paralysis and
death, and while particular rules, equipment and personal discipline
may reduce this risk, the risk of injury does exist; and 2) I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known
and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF
THE RELEASES or others, and assume full responsibility for my
participation; and 3) I willingly agree to comply with the stated and
customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the
attention of the nearest instructor immediately; and 4) I, for myself
and on behalf of my heirs, assigns, personal representatives and
next of kin, HEREBY RELEASE AND HOLD HARMLESS Ice Land
USA, LLC, their officers, instructors, agents, and/or employees,
other participants, sponsoring agencies, sponsors, advertisers and,
if applicable, owners and lessors of premises used to conduct the
event (“Releases”), WITH RESPECT TO ANY AND ALL INJURY,
DISABILITY, DEATH, or loss or damage to person or property,
WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASES OR OTHERWISE, I HAVE READ THIS RELEASE OF
LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY
UNDERSTAND ITS TERMS , UNDERSTAND THAT I HAVE
GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT
FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
______________________________________________________
Participant’s Signature and date signed
FOR PARTICIPANTS OF MINORITY AGE
(Under Age 18 at time of registration)
This is to certify that I, as parent/guardian with legal responsibility
for this participant, do consent and agree to his/her release as provided above of all Releases, and for myself, my heirs, assigns and
next of kin, I do also release and agree to indemnify the Releases
from any and all liabilities incident to my minor child’s involvement
or participation in these programs as provided above, EVEN IF
ARISING FROM THEIR NEGLIGENCE.
______________________________________________________
Parent/Guardian’s signature and date signed
Learn-To-Skate program!
This program offers quality instruction using the
United States Figure Skating guidelines and
standards.
Format Classes for Term 7 are held on Mondays or
Wednesdays. Classes for Term 7 are 6 weeks.
1st Day Procedure Skaters should arrive at least 15
minutes prior to their scheduled class time to pick up
name tag and to allow sufficient time for preparation.
Equipment Single Blade hockey and figure skates are
required. All sizes of hockey and figure skates are available to rent for only $3.00. Helmets are recommended
for all children 5 years of age and under (good fitting
bicycle helmets are acceptable).
Attire Comfortable, flexible and warm clothing,
including hats and gloves or mittens, are recommended
for all skaters!
Payment Cash, check or credit card (Visa, Master Card
or Discover). Checks payable to Iceland USA
Policies 100% refund will be given up to 5 days before
the first day of class. No refunds will be given after the
first day of classes. We do not pro-rate classes. The
rink reserves the right to cancel or consolidate any class.
No make-up classes.
ICE LAND USA
15381 Royalton Rd. Strongsville, OH 44136
(440) 268-2800 Fax (440)268-2801
www.IceLandUSA.info
Facebook: IcelandUSA
Step 1 to register for LTS is found on bottom of
MONDAYS (6 weeks $78.00)
next page
5:00-5:50 PM Junior Blades (6 weeks $96.00)
Summer Term 7
Registration deadline July 21, 2017
Cost—6 weeks $78.00
After July 21st deadline add $10 late fee to all prices
Monday July 24, 31, Aug. 7, 14, 21 & 28th
Wednesday July 26, Aug. 2, 9, 16, 23 & 30th
~ 20% family discount after first child. Please fill out
separate form for each skater you are registering.
ONE Discount per family, not per additional skater.
Discounts are no longer offered to Strongsville
Rec Center Members.
Junior Blades Mondays 5:00-5:50 pm $96.00 6 weeks
Fall Term 1 will begin week of September 11, 2017
Registration Deadline for Fall Term 1 is Sept. 8, 2017
Class Descriptions
Snowplow 1, 2, 3 & 4—This class is designed for 3 to 5
year olds. The most elementary skating skills are combined
with fun and games
Basic Skills 1 through 6 Classes introduce fundamentals to
skaters ages 6 and up and for tots who have passed Snowplow 4.
5:50-6:20 PM
Snowplow 1
Snowplow 2
Snowplow 3
Snowplow 4
Basic 1
Basic 2
Basic 3
6:30-7:00 PM
Snowplow 1
Basic 1
Basic 4
Basic 5
Basic 6
Adults
6:20-7:10 PM
LTP Hockey –Youth
(East Rink)
7:10-8:00 PM Adult classes $90.00
Adult Learn to Dance (west rink)
7:20-8:10 PM Adult classes $90.00
Adult Learn to Play Hockey
(East Rink)
WEDNESDAYS 6 weeks $78.00
5:50-6:20 pm
Snowplow 1
Snowplow 2
Snowplow 3
Snowplow 4
Basic 1
Basic 2
Basic 3
6:30-7:00 PM
Basic 1
Snowplow 1
Basic 4
Pre Free skate
Basic 5
Free Skate
Basic 6
Adults
Adapted
SAVE $3.00 per week when skater takes a
2nd Class!! Discount on price of second
class/least expensive only.
Free Skate & Pre Free Skate for skaters who have passed
Basic 6.
Junior Blades this class is for skaters that have passed
Basic 6 –Introducing Free skate, moves in the field, off-ice
Adult Classes designed for those over the age of 16.
Adapted Classes designed for those with special needs.
Learn to Play Hockey This class will be offered on
Monday evenings at 6:20 PM. Skaters must have completed and passed at least Snowplow 4 or Basic 2 in order
to enroll in this class. Basic equipment is required—HECC
certified helmet with facemask, shin pads, elbow pads &
hockey gloves and stick it is highly recommended LTP
Skaters continue LTS Classes through Basic 5
Adult Learn to Play Hockey—Monday 7:20 pm
Adult Learn to Play Hockey (LTPH) is for anyone 16 years
of age and older. This class is offered on Mondays from
7:20 pm to 8:10 pm. Skating Skills & Stick Handling is
part of the curriculum. Basic equipment is required (Helmet
with facemask, shin pads, elbow pads, hockey gloves &
Stick)
Adult Learn to Dance —Mondays 7:10 pm
Adult Learn to Dance is for anyone 16 years of age and
older. This class is offered on Mondays at 7:10 pm to 8:00
pm. Skating skills, timing, body control and The Dutch
Waltz dance will be part of the curriculum.
Skate Rentals extra—$3.00 per pair each week.
STEP 1—LEARN TO SKATE USA
Welcome! ALL PARTICIPANTS in our program must have a
Basic Skills Number with Learn to Skate USA prior to registering
with our program. If skater has had a basic skills member in the
past, renew your number for 2017-18. If you do not have a Basic
Skills number, please register as a new Member.
YEARLY MEMBERSHIP JUNE 1, 2017-JUNE 30, 2018
Cost is $16.00 + Fees Please follow the directions below:
GO TO: www.learntoskateusa.com—Choose Renew or Sign Up
Steps below for new membership only NOT Renewal of Current #
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Click on sign up and then click on become a member
Skater/parent of skater click
Fill out all info & Scroll to bottom of page click continue
Enter billing address. Scroll to bottom & click continue
Review—then scroll to bottom and click continue
Payment info—scroll to the bottom of page, click submit
Click I agree submit
On all LTS Registration forms please fill in your Basic Skills Number as well as email, Birth date etc. Do not leave any blanks. Any
questions, please call 440-268-2800 ext 2—this is an answering
machine only. Please leave a message and our LTS Directors will
call you back.
If a LTS Participant is injured on the ice and does not have a
current Basic Skills Membership, do not contact USFSA.
All insurance liability falls on skater or parent/Guardian if skater
under the age of 18.