ࡱ> 463y NbjbjEE ."''I ''g.     rt<       7!~  ''  !'l    , |70g!\!!r   g! : The Edge Sports Center at Bedford Program Registration Form 2007/2008 Season Participants Name ______________________________________________________________________ Last First Date of Birth ___________________________________________________________________________________ Address City/Town State Zip Parents Name _______________________________________________________________________ Last First Home# Cell# Email Address:_________________________________ Player is registering for: Learn to Skate/Figure Skating (Please mark or circle programs) Session 4 March 3, 2008 through May 12, 2008 Monday mornings 10:50 AM 11:40 AM 10 weeks $155No class 4/21 Session 5 February 9, 2008 through April 12, 2008 Saturday afternoons 3:10 PM 4:00 PM 10 weeks $155 Session 6 November 5, 2007 through December 24, 2007 Monday afternoon1:30 PM - 2:20 PM8 weeks $125 Session7 - January 7, 2008 through March 24, 2008 Monday afternoon1:30 PM - 2:20 PM10 weeks $155 No class 1/21 and 1/28 Session 8 - March 31, 2008 through May 19th Monday afternoon3:50 PM 4:40 PM 8 weeks $125 Session9 - April 19, 2008 through May 31st Saturday afternoons 3:10 PM 4:00 PM 7 weeks $110 Check and circle class entering if you have skated before: __________ Snowplow Sam 1 2 3 (tots Age 3-7) __________ Basic 1 (never skated Age 8 and up) __________ Basic 2 3 4 5 6 7 8 (any age including adults) __________ Freestyle 1 2 3 4 5 6 __________ Hockey 1 2 3 4 Must have passed previous level of the level entering. Not sure what level to check & circle-we will place skaters Their 1st skating day-assistance check here: __________. Is participant on any medication or under a physicians care? Yes___ No____ If Yes, Please explain________________________________________________________________________ Release Form: Must be read and signed by parent or guardian As parent/guardian of the above named child, I hereby grant permission for him/her to participate in the activities of The Edge Sports Center. I hereby waive, release and forever discharge said The Edge Sports Center, its officers, members, agents, representatives and employees from all claims and demands which I, my heirs, executors and administrators, and those of the above named child have or may have by reason of any personal injury or injuries, property damage or damage of any nature whatsoever resulting from the participation of the above named child in the activities of The Edge Sports Center and any consequences arising there from. 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