PLEASE PRINT CLEARLY
Skater’s Name ___________________________
Birth Date ___________________ Age ________
Previous Skating Level Passed:_____________
Day_____________
Time _______________
Level ___________
Parent/Guardian
Name:__________________________________
Address:________________________________
City:____________________________________
State:_________ Zip:___________
Daytime Phone:__________________________
Email Address:__________________________
Credit Card Visa ______ Master Card _______
Credit Card # _____________________________
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
know 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, HERBY 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
SUMMER TERM 1
JUNE 12-JULY 19, 2017 revised
Welcome to the Ice Land USA
Learn-to-Skate program!
This program offers quality instruction using the
United States Figure Skating guidelines.
Format Summer —thirty Minute Classes held on
Mondays and/or Wednesdays
First 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 or figure skates
are required. All sizes of hockey and figure
skates are available to rent for only $3.00 each
week. Helmets are required for all children 5 years
of age and under (bicycle helmets are acceptable)
Attire Flexible pants (athletic wear) and warm
clothing, including hats and gloves or mittens, are
recommended for all skaters! No jeans and don’t
forget socks.
Payment Cash, check or credit card (Visa or
Master Card). Checks payable to Iceland USA
Lakewood.
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 prorate classes. The rink reserves the right to cancel
or consolidate any class.
USFSA BASIC SKILLS MEMBERSHIPS—
REQUIRED FOR ALL PARTICIPANTS
INCLUDING LEARN TO PLAY HOCKEY.
MEMBERSHIP IS $16.00
REGISTER ON LINE AT
LearnToSkateUSA.com
Monday
SUMMER 2017 Registration Deadline is June 8, 2017
WEDNESDAY DATES—REVISED
Mondays June 12, 19, 26 July 10 & 17th (5 weeks)
Wednesdays June 14, 21, 28 July 5, 12 & 19th (6 wks)
NO CLASSES MONDAY JULY 3rd
Cost per Session
Monday $60.00 Non Resident $55.00 resident
Wednesdays $72.00 Non Resident $67.00 resident
JR Club Wednesdays $84.00 Resident & Non Res
Summer Term 2 starts week of July 24, 2017
Registration deadline Thursday July 20, 2017Rev.
FAMILY DISCOUNT**—20% family discount
after first child. Please fill out separate form for each skater. ONE
“Family discount” Per Family-not per skater.
SECOND CLASS DISCOUNT**—Sign up for two
On-Ice classes during the same term (same skater) and
receive a $20.00 discount on the second class.
**Please choose either “Family” or “Second Class”
Discount—Multiple discounts may not be applied.
Class Descriptions
Snowplow Sam 1—4 The Snowplow Sam levels are designed to
help preschool-age skaters develop preliminary coordination and
strength necessary to maneuver on the ice.
Basic 1—6 The “Basic Skills” are the fundamentals of the sport.
These eight levels of the program introduce the fundamental
moves; forward skating, backward skating, stops, edges, crossovers, three turns and Mohawks.
Junior Club Free Skate 1 through 6. All Free Skate classes will
include stroking, moves, jumps, spins. Students will learn moves
to prepare for pre-preliminary test (USFSA 1st Level above LTS).
Adult 1—6 The Adult curriculum is designed for the
beginner adult skater. It will promote physical fitness as well as
improve balance and coordination while learning proper skating
techniques. Divided into six levels, adult skaters will progress at
an individual rate while being challenged and motivated.
Hockey Learn to Play Hockey is held on Wednesdays at 6 pm.
Skaters must have passed Snowplow 3 or Basic 2 in order to enroll
in this class. Basic equipment is required (Helmet, Gloves, Elbow
pads & Stick) Adult Hockey class on Mondays at 7:30 pm
Tot Hockey (must have passed Snowplow 1) teaches proper
hockey stance both forward and backward, glides, T-push and
Front to back, Back to front stationary turns.
Hockey Power Skating Must have passed snowplow 3 or Basic 2.
Class works on powerful backward C-cuts, crossovers, hockey
turns, pivots, fast starts/stops and backward skating with V-stops.
Theatre On Ice—incorporates the TOI elements of choreography,
skating movements and rapport between skaters and/or sub groups
of skaters at an intro level.
LTS Intro to Dance the ice dance badge prorogram focuses on
components of ice dancing and basic edges/turns while skating to
music.
Synchronized Skating—Syncro badge program is a great way to
introduce Synchronized Skating to skaters already taking group
lessons. Skaters may progress individually or as a group through
Synchro 1-4.
6:00-6:30 PM (5 wks $60)
Snowplow 1, 2, 3 or 4
Basic 1, 2 or 3
Tot Hockey (Must have passed Snowplow 1)
6:30-7:00 pm (5 wks $60)
Snowplow 1
Basic 1, 4, 5, 6
Adv. Adults
Adult 1-6
Pre Free Skate
6:30-7:30 pm (5 wks—1 hr $70) Junior Club—Free Skate 1-6
7:00—7:30 pm (5 wks $60)
Adult 1-6
Basic 1
Hockey Power Skating for Beginners
7:00-8:00 pm (5 wks 1 hr $70) Adult Synchro
7:30-8:00 pm (5 wks $60)
Advanced Adults
Beginner Hockey for Adults
Wednesday
6:00-6:30 pm (6 wks $72)
Snowplow 1, 2, 3 or 4 Basic 1, 2, 3 Adult 1-6
Tot Hockey
6:00-7:00 pm (6 wks—1 hr $84) Rink 2
Learn to Play Hockey for Youth
(must have passed Snowplow 3 or Basic 2)
6:30-7:00 pm (6 wks $72)
Snowplow 1
Basic 1, 4, 5, 6
Advanced Adults
Pre Free Skate
Adults 1-6
LTS Synchronized Skating
7:00-8:00 pm (6 wks—1 hr $84) Junior Club—Free Skate 1-6
7:00-7:30 pm (6 wks $72)
Adults 1—6
Intro to Theater on Ice (TOI)
7:30-8:00 pm 6 wks $72)
Advanced Adult
Intro to Ice Dance
Practice Freestyle Ice is available Mondays & Wednesdays
4:20-5:50 pm for LTS participants of all levels.
Private Lessons for Figure skating and Hockey are available.
Call Christine Watts, Learn to Skate Director for more
information at 216-529-4400.
SKATE RENTALS EXTRA EACH WEEK FOR $3.00
PER PAIR—PLEASE PAY FRONT DESK.
Learn to Skate USA
(June 1, 2017—June 30, 2018)
All Learn to Skate participants must register/renew their
own Basic Skills Membership prior to registering with
Serpentini Arena Learn to skate classes. It’s quick and easy!
Cost is $16—go to www.learntoskateusa.com







Top right of page click on the “Sign up” circle
Choose Skater or Parent of Skater
Fill out all info, scroll to bottom of page, click continue
Enter billing info, scroll to bottom, click continue
Review information—click continue
Complete payment info - scroll to bottom of page
Click submit / “I agree” / Submit
SERPENTINI ARENA
14740 Lakewood Hts. Blvd, Lakewood OH 44107
216-529-4400 fax 216-529-6884
Web site: www.serpentiniarena.com
LTS Email: [email protected]