ICE LAND  VGT Clinic  Summer 2008 REGISTRATION FORM

Please fill out the following Participant Information:

LAST NAME  
FIRST NAME  
ADDRESS  
CITY  
STATE  
ZIP  
TELEPHONE  
 EMAIL  
DATE OF BIRTH  
EMERGENCY CONTACT  
EMERGENCY  PHONE  

SELECT THE CLINIC YOU WOULD LIKE TO ENROLL:

  17 Sessions
 Single Session         Date:
 		  

Method of payment (to register by internet you must pay by credit card only)
 AMOUNT  $  

CARD TYPE  
CARD HOLDER NAME  
CARD #  
EXP.  

Cancellation & Credit Policy- Ice Land Skating Center does not give cash refunds. If a Participant is injured & has written proof from a doctor that he/she cannot participate for the remainder of the season, credit will be given for the unused portion of the season. The credit may be used in any future on-ice hockey program/s. THERE ARE NO MAKE UPS OR CREDITS FOR MISSED SESSIONS. Any Participant dropping out of a League/Program/Session, not due to an injury (as stated above), will still be responsible for paying the entire fee for the entire season.

In consideration of the Participant being permitted to register and participate in  the House League/Ice Land Skating Center Programs, I do hereby forever release and discharge Ice Land Associates L.P. and its Directors, Agents, Employees, Officers and/or any person, Corporation or Partnership connected herewith from all manner of action, injury, damages, costs, claims, or demands which I will, shall or may ever hereafter have, suffer or receive by reason of such participation in any program at Ice Land Skating Center. This release shall be binding on my heirs, assigns, executors and administrators. It is further agreed that Ice Land Skating Center shall not be considered to guarantee or warrant such equipment as may be used in the conducting of said programs. In the event of my cancellation all monies are non-refundable, there are no exceptions.

 I Understand and Agree with the Rules and Regulations of Ice Land Skating Center