NASHOBA VALLEY ISI SKATING SCHOOL.
P.O. Box 793, Acton, MA 01720-0793
978-263-3044
ADULT CLASS: 2009-2010 REGISTRATION FORM
Session 5: May 10, 2010 - June 24, 2010

Name:
 Phone:
 ISI #:
 Expiration:
Street address:
 Town and state:
 Zipcode:
E-mail address:
 Emergency Telephone:
 Cell:
Skating level:
 		Coach's name:

PHOTO RELEASE: From time to time photographs or video tapes are taken by NVO ISI or another authorized party and may be used for promotion and marketing materials or articles. 
   Yes, I give permission. ---------No, I do not give permission.

Enter your information in the form below, then print it on your computer,
sign it, and mail or bring it to the Nashoba Valley ISI Skating School.
NOTE: Use the LANDSCAPE mode on your printer!


Adult Class & Ice may be purchased by the week.  Click on the boxes for the dates for which you will attend class.
 WEEK 1 2 3 4 5 6 7
ADULT CLASSES PRACTICE ICE  Pre-book by week 5/11 5/18 5/25 6/1 6/8 6/15 6/22 TOTAL
Tuesday (9 weeks) REG/WO
Adult Class Tuesday 7:40-8:40 pm ($126) $18/20 $
8:50 - 9:50 pm Practice Ice ($77) $11/14 $
PRACTICE ICE:
Pre-booked by Session only
Monday (6 weeks) No ice 5/31
2:15 - 3:00 pm Practice Ice $48 Please enter total in box to the right $
3:00 - 4:25 pm Practice Ice $72 Please enter total in box to the right $
6:30 - 7:30 pm Practice Ice $72 Please enter total in box to the right $
7:45 - 8:45 pm Practice Ice $72 Please enter total in box to the right $
Tuesday (7 weeks)
2:15 - 3:00 pm Practice Ice $56 Please enter total in box to the right $
3:00 - 4:25 pm Practice Ice $84 Please enter total in box to the right $
Wednesday (7weeks)
2:15 - 3:00 pm Practice Ice $56 Please enter total in box to the right $
3:00 - 4:25 pm Practice Ice $84 Please enter total in box to the right $
Thursday (9 weeks)
6:30 - 7:30 pm Practice Ice $108 Please enter total in box to the right $
Friday (7 weeks)
2:15 - 3:30 pm Practice Ice $50 Please enter total in box to the right $
Saturday (4 weeks) No ice 5/15, 5/22
9:00 - 10:00 am Practice Ice  FS 1 and up $48 Please enter total in box to the right $
9:45 - 10:45 am Practice Ice $48 Please enter total in box to the right $
2:05 - 3:05 pm Practice Ice $48 Please enter total in box to the right $
Make checks payable to:  NVO ISI.  $15 fee for returned checks. We reserve the right to cancel in the event of insufficient enrollment. Family Discount on classes only, for parents and siblings only - first family member pays 100%, second family member discount 5%, third family member discount 10%.) TOTAL
$
NO REFUNDS: Pre-booked ("REG") rate applies only when purchasing 4 or more classes/ice with registration. NO exceptions.

RELEASE FORM:  I hereby absolve Nashoba Valley Olympia and its ISI staff and all related agents from all responsibilities for injuries or illnesses to the above skater and hold the above parties and their agents harmless from all claims.  All skaters participate at their own risk.

Signature_______________________________ Date_____________________
(parent or guardian if skater is under 18 yrs. old)