Registration Form - Flemington Ice Arena

Circle one class time. The dates listed are the eight weeks that classes will
meet. Classes meet on the same day every week. Skaters will be evaluated
on week 7 for readiness to move to the next level.
SUNDAY
September 18, 25
October 2, 9, 16, 23, 30
November 6
WEDNESDAY
September 14, 21, 28
October 5, 12, 19, 26
November 2
1:00pm - 1:30pm
5:00pm-5:30pm
Hockey 1,2
Pre Free Skate
Free Skate 4,5,6
Moves in The Field
Teen Adult 4,5,6
Snow Plow Sam 1,2,3,4
Basic 4,5,6
Pre Free Skate
Free skate 4,5,6
Hockey 1,2
SATURDAY
September 17, 24
October 1, 8, 15, 22, 29
November 5
8:15am-9:15am
Figure Skating Clinic
9:30am-10:30am
Off-Ice Clinic
1/2 hour Ballet Stretch
1/2 hour Jump training
5:30pm-6:00pm
1:30pm -2:00pm
Basic 1,2,3
Free Skate 1,2,3
Teen/Adult 1,2,3,4
Moves in the Field
Hockey 3,4
2:00pm –2:30pm
Snow Plow Sam 1,2,3,4
Basic 1,2,3
Beginner J &S
Theatre on Ice
Theatre on Ice
WEDNESDAY AM
September 14, 21, 28 October 5, 12, 19, 26
November 2
10:00am-10:30am
10:30am-11:00am
Pre-School Pals
Adult Classes
Times may be flexible.
A $15 late fee will exist on registrations received less than 2 days
before classes begin. Make sure to register early!
426 Case Blvd.
Phone: 908.237.1423
Flemington, NJ 08822
Fax: 908.237.2423
www.flemingtonice.com
R2
426 Case Blvd.
Flemington, NJ 08822
Phone: 908.237.1423 ext. 110
Fax: 908.237.2423
[email protected]
Please Fill Out a Separate Registration Form
for Each Student.
REGISTRATION
Student Name_____________________________________________
Parent/Guardian Name______________________________________
Student DOB_____________________ Age__________ Male/Female
Address___________________________________________________
City____________________________ State__________ Zip________
Home Phone_____________________ Cell______________________
Email_____________________________________________________
New to Flemington Ice LTS: Prior skating experience? Yes / No
USFSA Fee Paid for 2016-2017 Season? Yes / No
If yes, what is your USFSA #__________________________
Have you skated with us before? Yes / No
If yes, what is the last level you passed_________________
Sign Up
Level / Class________________ Day_____________ Time__________
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Helmet Policy: All beginner skaters are required to wear a helmet . A bike
helmet from home can be worn, or if necessary, Flemington Ice Arena will be
able to provide a helmet, but can not guarantee proper fit.
Refund Policy: There will be absolutely no refunds issued. Credit will be
issued in the event of extended illness or injury upon submission of a doctor’s
note to the program coordinator, Julie DiLiberto. Credits are subject to management
approval. All credits are subject to a $25 processing fee and will be pro-rated $15
for each class taken. There are no make-ups or credits for missed classes.
Individual class sizes are limited. Please choose your day and time with care,
paying attention to all class dates noted in the schedule. Classes that don’t
meet minimum enrollment requirements may be combined or moved to
another day.
Assumption of Risk/Consent for Treatment: I hereby give permission for
the above named skater to participate in Flemington Ice Arena’s Learn To Skate
program. I assume the rinks inherent to such participation and further release,
absolve, indemnify and hold harmless Flemington Ice Arena, it’s insurer, the
management, director, staff, independent contractors, officers, board of directors
and any of it’s associates from any claim arising out of injury. I further authorize
the organization to act for me and in behalf according to his/her best judgment in
any emergency or injury to myself or my child requesting paraprofessional or
professional medical attention or treatment in the event that I am not available or
can not be reached.
Parent/Guardian Signature______________________ Date________
Payment Method
Cash (Do not mail)$______
Check ______ (Pay to Flemington Ice Arena) $______
Flemington Ice accepts AMEX, MC, Visa, Discover
CVC Code # _ _ _
CC#______________________________ Exp. Date ______________
DESCRIPTION OF CLASSES
Ages 3-6
Snowplow Sam 1,2,3,4
Preliminary skating skills for
Preschoolers designed to teach the basics of
skating.
(Snowplow 4 graduates should register for Basic 2)
Ages 6-13
Basic 1,2,3,4,5,6
Six progressive levels introduce basic
techniques needed to master edges, turns and stops.
Ages 13+
Teen/Adult 1,2,3,4
Four progressive levels designed to master basic skating
skills while
improving fitness, balance and coordination.
Pre-Free Skate
Transition level between the Basic skills and Frees Skate
curriculum
(Must pass Basic 6 to register)
Free Skate 1,2,3,4,5,6
Advanced curriculum for skaters that have
completed Pre-Free Skate. Learn jumps, spins, footwork
and artistic moves.
Jumps & Spins,
Theatre On Ice, Introduction to MIF, etc.
Please review the program requirements and
information on display.
Ages 6-13
Hockey 1,2,3,4
Introducing basic hockey skills while
focusing on balance, edges and agility.
Skaters must have passed Basic 2 in hockey skates to
register for Hockey 1-4
Registration Fee
8 Week Session: $150 by September 4
+ $15.00 USFS Annual Membership Fee
$170 after September 4, 2016
+ $15.00 USFS Annual Membership Fee
What’s Included: Skate rental, program
membership and a pass for 4 public skates!
Family Discount: 3 or more skaters
Receive $10 discount per skater.
Basic Skills Program
Ice Skating is a wonderful
sport that can provide a
lifetime of fun, fitness and
friendships. Designed by
US Figure Skating, the
Basic Skills program
teaches the fundamentals
of ice skating for
everyone. The curriculum is
fun, challenging and
rewarding.
Whether you are
interested in recreational
skating, figure skating or
hockey, our Basic Skills
program’s carefully planned
levels allow
skaters to gain the basic
skating techniques needed to
succeed. The program
consists of 8 weeks of 30
min. group lesson with a
professional instructor and a
complimentary LTS practice
pass good for
4 public sessions.
General Info:
Skates should fit snug and be
sharp. Figure skates and
helmets are always
recommended for all
beginning skaters.
Students are encouraged to
wear warm, loose fitting
layers, socks and gloves and
arrive 15 minutes prior to
class time.
Inclement Weather: