MCFSC Jr. Synchro Team - Skaters that are Basic 6 and higher may join - Non-competitive Synchro Team - No club membership - Have Fun and skate with friends - Earn USFSA Synchro Badges when levels are passed - Synchro is a great way to work on skating skills as a team - Synchro performs in Exhibition, December 4 at 5:00 pm - Performs in all Ice Shows - MCFSC Jr. Team volunteer at 2 public skates with a minimum of 2 people per public skate (at least 1 adult out of the 2) sign-up sheet is at registration and will be on bulletin board at the rink. Sunday Evenings 7:00-7:30 pm (October 23 – March 19) Cost is $130 *The cost includes MCFSC Ice time, Instruction & T-shirt for Exhibition & Ice show. Synchro may be put on payment plan. Any questions call Chris 684-8496. MCFSC Jr. Synchro Practices Sunday 7:00 – 7:30 pm October 16 7:00-7:30 pm Jr. Synchro Team & Try Synchro for new skaters October 23 & 30 November 6, 13, 20 & 27 December 4 Exhibition 5:00 pm no regular synchro practice December 11 & 18 No synchro December 25 & January 1 January 8, 15 & 22 No Synchro on 29 February 5, 12, 19 & 26 March 5 & 12 March 14 4-7:30 pm Dress Rehearsal Photo Jr Synchro 4:00 pm March 17 7 pm at rink by 6:30 pm March 18 2 pm at rink by 1:30 pm & 7 pm at rink by 6:30 pm March 19 2 pm at rink by 1:30 pm MCFSC Jr. Synchro Team Sunday Evenings 7:00-7:30 pm Skater’s Name______________________________ Phone #____________________ Birthdate___________ Address___________________________________City____________Zip__________ Male or Female(circle) E-Mail________________________________________________________Highest FS Level _______________ Parent’s Names_________________________________ T-Shirt Size:__________ Highest FS Level ____________ T-Shirt Size for Exhibition & Ice Show: CL AS AM AL AXL AXXL skaters need their own black leggings Jr MCFSC Team doesn't have to have a MCFSC Membership. Competitive team members need to be a MCFSC Member. ______New To Synchro ____ Returning Synchro Skater _____How many years on Jr. Synchro ______ Interested in trying out to compete at Badger State Games Jan 27-29 If skater is put on competitive team the fee is $225 + MCFSC membership Performing in: Exhibition December 4th 5:00 pm Ice Shows March 17~ 7 pm March 18~2pm & 7 pm March 19~ 2pm Class Costs: $130 + helping at 2 public skates with at least 2 people per public skate sign up sheet is at registration and will be on bulletin board Send check or money order (made out to MCFSC) and completed registration form to: MCFSC-PO Box 357, Manitowoc, WI 54221-0357 Waiver Information/Waiver Statement As the parent and/or guardian of ________________________________________, I authorize my child’s participation in the Manitowoc County Figure Skating Club’s (MCFSC) skating sessions, and agree to accept full financial responsibility for all fees, costs, damages, and expenses incurred or caused by the participant in all aspects of the program and/or use of the facilities, on or off of the ice. I further authorize MCFSC and the Manitowoc County Ice Center (MCIC) or their agents to exercise their judgment to seek and obtain medical care for the participant in the event of an acute illness or injury necessitating such care. I, as parent and/or guardian, agree to pay and all expenses incident to such illness or injury; including, but not limited to; transportation, evaluation, diagnostic testing and treatment. I hereby release the Manitowoc County Figure Skating Club, Inc., Manitowoc County Ice Center, their respective board members, members, volunteers, staff and agents from all liability for injury or loss of property for the above listed skater on or off the ice. I agree that MCFSC and MCIC along with their respective officers, staff, and agents assume no responsibility for accidents or injuries on or off the ice or for any loss or damage of personal property. MCFSC reserves the right to cancel this program due to lack of interest or any other unforeseen circumstances. Refunds only given upon MCFSC’s cancellation or participant having a dated doctor’s confirmation deeming them unable to participate. ____________________________________________________________________ Skater’s Signature (if over the age of 18) Date Parent/Guardian’s Signature (if the skater is under the age of 18) Amount Paid_______________ Payment Plan _____ Cash____ Date Check #_______ Received by_________
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