G2C Seminar Coach Registration - June 13 & 14, 2017.

NOTICE: Payment accepted via PayPal. Refund Policy: Seminar fees are refundable only with medical verification and prior to June 1, 2017.

If you have any questions, please contact Peggy Orr This email address is being protected from spambots. You need JavaScript enabled to view it. or Tina Randazzo at This email address is being protected from spambots. You need JavaScript enabled to view it..

Coach Registration Deadline: May 5

This on-line form cannot be partially completed and saved. Your registration will be accepted when your form has been completed, submitted and paid (if required). All class participants must be current members of U.S. Figure Skating. All coaches must complete this registration form to attend.

Coach Seminar Registration

Coach First Name(*)
Invalid Input

Coach Last Name(*)
Invalid Input

Skating Club(*)
Invalid Input

Email Address(*)
Invalid Input

Primary Phone Number(*)
Invalid Input


Waivers

Seminar Participation Liability Waiver

In consideration of being allowed to participate in any way in the Grassroots To Champions, (the “seminar”), related events and activities, including but not limited to programs at the camp and off ice, I hereby agree/give my consent for myself/my child (as parent or guardian) to participate.

I acknowledge that ice skating is inherently dangerous. I agree that Grassroots To Champions, St. Louis Skating Club, Brentwood Ice Rink and the City of Brentwood, their agents, servants, and employees shall not be liable to me (my child) for any injury or damage, however caused, resulting directly or indirectly from my child’s participation in the camp whether incurred on the ice or otherwise, in or about the buildings, at any time preceding, during, or subsequent to the camp, and I hereby discharge Grassroots To Champions, their agents, servants, and employees from all actions, claims and demands I (my child) may have for any such injury or damage.

I further acknowledge and agree that Grassroots To Champions and seminar do not insure, and will not be expected, at any time, to insure the safety or the proper state of repair of my child’s equipment used by my child during the seminar and that Grassroots To Champions does not, and shall not be considered to, guarantee or warrant the instructional materials used by it during the seminar.

I also understand that my agreement, releases, and discharges herein shall bind my heirs, legal representatives and assigns and shall endure to the benefit of Grassroots To Champions, St. Louis Skating Club, Brentwood Ice Rink and the City of Brentwood, their agents, servants, and employees, and their successors and assigns.

Agreement(*)
Invalid Input

Consent for Medical Attention or Treatment

I certify that I, the member, or I, the parent/guardian of said participant, give my consent to the St. Louis Skating Club and the facility the activities are taking place and their staff and to members of the St. Louis Skating Club, their Board of Directors and volunteers to obtain medical care from any licensed physician, hospital or clinic, including transportation and emergency medical services, for myself/ourselves and/or said participant for any injury that could arise from participation in these activities. This consent for Medical Attention shall be binding and effective for the Summer 2017 Grassroots to Champions Seminar of St. Louis Skating Club.

Agreement(*)
Invalid Input

Media Release

On occasion, newspaper reporters or figure skating websites ask to interview or take pictures of seminar participants. Pictures and/or information about the seminar will be posted on the Grassroots To Champions website. Grassroots To Champions periodically uses photographs and video footage of seminar participants in its advertising/marketing material. This media release statement will serve as permission to use such information as needed.

I acknowledge and agree that Grassroots To Champions, St. Louis Skating Club and figure skating partners, reserve the sole and exclusive rights to use any photographs or video taken during the seminar for advertising and/or instructional purposes, without cost or charge whatsoever to Grassroots To Champions or it's partners.

Agreement(*)
Invalid Input

Seminar Options

Wednesday Seminar Fee(*)

Invalid Input

Skater 1 Name
Invalid Input

Skater 2 Name
Invalid Input

Skater 3 Name
Invalid Input

Total
0.00 USD

Payment

If you experience problems with the online registration form, please contact This email address is being protected from spambots. You need JavaScript enabled to view it..

Our Mission

The mission of St. Louis Skating Club is to promote, encourage and improve all areas of amateur skating, in all disciplines. St. Louis Skating Club encourages a fraternal feeling among ice skaters and strives to raise the standard and level of figure skating by encouraging testing and competitive skating and by providing skaters access to qualified club-approved coaches.

501(c)(3)

St. Louis Skating Club is a charitable organization under Section 501(c)(3) of the Internal Revenue Code. Any gift you make is tax-deductible to the maximum extent allowed by law.