Registration – Norwich & District Skating Club

Name *

First

Last

Birthdate: *

Day/Month/Year

Gender *

Address: *

Please include # and Street Name and Unit # (if it applies)

City and Postal Code *

Parent/Guardian #1 *

First

Last

Parent/Guardian OR Emergency Contact #2 *

First

Last

Phone # *

please include area code

Email *

Skate Canada Number

if applicable

Home Club *

Program *

*Please Note: to register for our CANSkate program this summer, we do require skaters to have experience and to be able to skate independently.

# of Sessions *

Please Select Dates *

*If you need to make changes to your selected dates, please let us know in advance to the best of your ability.

CANSKATE STAGES 1-6 Must have previous skating experience (be able to skate and get up independently)	Mon & Wed 4:00-4:45	4Sessions 6Sessions 9Sessions	$95 $140 $170
STARSkate Session 1 Must have passed CANSkate Stage 6.	Mon & Wed 4:00-5:15	4Sessions 6Sessions 9Sessions	$120 $180 $240
STARSkate Session 2 Must have passed STAR2 FreeSkate, STAR3 Skills & STAR4 Dances	Mon & Wed 5:15-7:00	4Sessions 6Sessions 9Sessions	$140 $210 $280
STARSkate Session 3 Must have passed STAR4 FreeSkate & STAR6 Skills OR be 16 years of age or older	Mon & Wed 6:15-8:15	4Sessions 6Sessions 9Sessions	$140 $210 $280
GUEST SKATE STARSkate Level Skaters Only!	Session1 Session2/3	1 Session	$35 $40