NASHOBA VALLEY ISI SKATING SCHOOL.
P.O. Box 793, Acton, MA 01720-0793
978-263-3044 Fax 978-263-5831

2009 - 2010 REGISTRATION FORM
Session 5: Monday, May 10 - Thursday, June 24, 2010
Name: Date of birth: ISI #: Expiration:
St. address: Town and state: Zip:
E-mail Phone: Cell:
Emergency contact person: Emergency phone:
Mother's full name: Father's full name:
Skating level: Or new Coach(if applicable):
Where did you hear about us

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.

Session 4
*No classes 5/15, 5/21, 5/22 **No Ice 5/31
*CLASSES FEE AMOUNT
Learn-to-Skate  10:45 - 11:30 am Saturday $60.00
Learn-to-Skate 11:30 - 12:15 am Saturday $60.00
Basic Skills: Alpha – Delta 12:25 - 1:55 pm Saturday $88.00
Freestyle 1 – 4 --- 7:20 - 8:50 am Saturday $88.00
Freestyle 5 & 6 --- 3:45 - 4:40 pm Friday $90.00
Freestyle 7-10 --- 4:50 - 5:40 pm Friday $90.00
Adult Class  7:40 - 8:40 pm Tuesday $126.00
**PRACTICE ICE
Monday (2:15 - 3:00 pm) (6 weeks) $48.00
Monday (3:00 - 4:25 pm) $72.00
Monday (6:35 - 7:35 pm) $72.00
Monday (7:45 - 8:45 pm) $72.00
Tuesday (2:15 - 3:00 pm) (7 weeks) $56.00
Tuesday (3:00 - 4:25 pm) $84.00
Tuesday (4:35 - 5:35 pm) $84.00
Tuesday (8:50 - 9:50 pm) $77.00
Wednesday (2:15 - 3:00 pm) (7 weeks) $56.00
Wednesday (3:00- 4:25 pm) $84.00
Thursday (6:30 - 7:30 pm) (7 weeks) $84.00
Friday (2:15 - 3:30 pm) (5 weeks) $50.00
Saturday (9:00 - 10:00 am) (4 weeks) $48.00
Saturday (9:15 - 9:45 am)
Shooting Starlettes Synchro Team
$48.00
Saturday (9:45 - 10:45 am) $48.00
Saturday (1:30 - 2:15 pm)
Shooting Stars Synchro Team
$56.00
Saturday (2:05 - 3:05 pm) $48.00
LATE FEE----- $10.00
TOTAL:

Make checks payable to Nashoba Valley ISI (NVO ISI). $15 fee for returned checks.
NVO ISI does not accept credit cards. NVO ISI reserves the right to cancel any class/practice ice in the even of insufficient enrollment. No refunds except for medical reasons documented by a doctor’s note. No exceptions. Class family discount (parents/siblings): first family member pays 100%, second family member - 5% discount, third family member - 10% discount. Private lessons available at rate of $24.00 per 1⁄2 hour- effective September 2006.* LATE FEE $10.00 charged for late re-registrations (if not paid by first class of session).

RELEASE FORM: I hereby absolve NVO ISI staff and all related agents of all responsibilities for injury or illness to the above skater and hold the above parties and their agents harmless from all claims. All skaters participate at their own risk.

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Parent signature (if skater is under 18 years)