
Participants must be at least three (3) years old at the
start of the semester.
Skater first name______________________________

class and public skate sessions. The badge must be
presented to utilize the public skate passes
Skater last name______________________________
Skater D.O.B. _______________________Age_____
Parent/Guardian______________________________
Address__________________________Apt._______
City____________________ Zip________________
Each skater will receive a special badge to wear to

Make up classes are allowed within the currently
enrolled semester

Skaters will receive a Certificate of Achievement at the
end of the semester

If at anytime a skater finds the need for additional
support or instruction; contact your instructor to set up
private lessons to improve on skills.
Email______________________________________
Phone (_____) ______________________________
How did you hear about us? Circle one.
Social Media
School Flier
Newspaper
City of Lincoln Guide
Other_____________________________________
Which day, and time works best for you?
Day(s)_____________________________________
30 minute class
Free skate rental
Additional Open Skate Passes
Learn to Skate USA Membership
7 weeks | $70 per skater
8 weeks | $80 per skater
10 weeks | $100 per skater
*Sign up for 2 classes a week and get a $20
discount on the second class
Time(s)____________________________________
Level______________________________________
Groupon # _________________________________
Total Payment $______________________________

Please make checks payable to “Breslow Ice Center”.

Return to front desk upon completion

Online registration available at
breslowhockeycenter.com.

If you are unsure about what level to register for, please
contact Chris Margiotta at 402-472-2758
Summer II 2016
July 5 — August 21 (7 Weeks)
Fall I Semester 2016
August 23 — October 16 (7 Weeks)
(NO CLASSES SEPTEMBER 1- 4)
John Breslow Ice Hockey Center
433 V. St
Lincoln, NE 68508
402.472.2758
BreslowHockeyCenter.com
Skate School Schedule
Snowplow Sam 1 - 4 (3 - 5 yrs)
Tuesday 2:30 - 3:00pm
Thursday 6:30 - 7:00pm
Saturday 11:15 - 11:45am
Sunday
2:00 - 2:30pm
Skate School Schedule
Hockey 1 - 2 (6 & up)
Tuesday 2:30 - 3:00pm
Thursday 6:30 - 7:00pm
Saturday 11:15 - 11:45am
Sunday
2:00 - 2:30pm
Waiver & Permission to use photographs
& video for promotional purposes
I agree to release John Breslow Ice Hockey
Center, Rink Management Services
Corporation. its employees and agents
Basic 1 - 2 (6+ yrs)
Tuesday 2:30 - 3:00pm
Thursday 6:30 - 7:00pm
Saturday 11:15 - 11:45am
Sunday
2:00 - 2:30pm
Hockey 3 - 4
Thursday 6:30 - 7:00pm
Saturday 10:45 - 11:15am
Sunday
1:30 - 2:00pm
from all claims, damages and actions of
the above named skater or their
parent/guardian. I assume full
responsibility for any bodily injury that
may occur as a result of the inherent risk
Basic 3 - 6
Tuesday
Thursday
Saturday
Sunday
2:30—3:00pm
6:00 - 6:30pm
10:45 - 11:15am
1:30 - 2:00pm
Adult 1 - 6
Tuesday
Thursday
Saturday
Sunday
2:30 - 3:00pm
6:30 - 6:00pm
11:15 - 11:45am
2:00 - 2:30pm
Pre-Free Skate & Free Skate 1 - 6
Saturday 10:45 - 11:15am
Synchronized Skating
(Must be a basic 3 level or above)
Saturday 10:15 - 10:45am
Special Olympics
Tuesday 2:30 - 3:00pm
Learn to Play Hockey
(Ages 4 and up)
This class teaches skaters the
fundamentals of ice hockey
(skating, puck control, shooting
and passing) through various
drills, personalized instruction
and small area games.
Enrollment in Hockey Skating
while participating in this
program is highly
recommended.
Required Equipment:
Helmet
Gloves
Stick
Thursday
6:00 - 6:30pm
of skating. I understand that any
participant who causes damage or
intentional injury will be suspended from
the program without refund. I authorize
John Breslow Ice Hockey Center to use all
photos or videos taken of me/my child
during any/all programs for advertising or
promotional material. I have read these
terms and conditions and I agree to them.
Skater Signature_____________________
Parent/Guardian signature (If skater is
younger than 18 years of age)
__________________________________