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Great Falls Figure Skating Club Membership
SKATER INFORMATION
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First Name:
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Last Name:
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Street:
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City:
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State:
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Zip Code:
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Primary Phone Number:
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Birthdate:
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Email:
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Gender:
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Grade:
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EMERGENCY CONTACT INFORMATION
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Emergency Contact:
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Phone:
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Relationship to Skater:
WAIVER INFORMATION
In consideration of participating in any Great Falls Figure Skating Club activity, I represent that I understand the nature of the activity and that I and/or my minor child am qualified, in good health, and in proper physical consideration to participate in such activity. I acknowledge that if the conditions are unsafe I and/or my minor child will immediately discontinue participation in the activity.
I fully understand and appreciate that participation or observation of the sport constitutes a risk to me of serious injury, including permanent paralysis or death, and that these and other risks may be caused by my own actions, or in-actions, those of others participating or the conditions in which this activity takes place. I fully accept and assume all such risks and all responsibility for losses, costs, and damages I incur as a result of my participation in the activity
I hereby release, discharge, and covenant not to sue the Great Falls Figure Skating Club, Great Falls Community Ice Plex, the Great Falls Community Ice Foundation, their respective administrators, directors, agents, officers, volunteers, employees, other participants, and any sponsors or advertisers from all liability, claims, demands, losses or damages. I further agree that if, despite this release waiver of liability and assumption of risk, I, or anyone on my and/or my minor child’s behalf, make a claim against the Great Falls Figure Skating Club, I will indemnify, defend, save and hold harmless the Great Falls Figure Skating Club, Great Falls Community Ice Plex, and the Great Falls Community Ice Foundation from any loss, liability, damage, or cost which may incur as the result of such claim.
By participating in a Great Falls Figure Skating Club event and/or hosted activity, and for good and valuable consideration, I release and grant to Great Falls Figure Skating Club, including its subsidiary and affiliated entities, the right to use the above skater's name, likeness, image, photograph, voice, video, athletic performance, biographical information and any other indicia of identity, in any format whatsoever, from the event or activity listed above (collectively, my "Identifications"), and to distribute, broadcast and exhibit my Identifications, without charge, restriction or liability, in any media now known or hereafter devised (including, but not limited to, television, internet, web casting, and video streaming) or in various publications (including, but not limited to, SKATING Magazine, the directory or media guide and marketing materials) into perpetuity, unless otherwise specified and agreed upon. I understand that I will not receive any compensation for any such use of my Identifications. It is also agreed that at no time can Great Falls Figure Skating Club release or authorize the use of my Identifications to an unrelated third party for the purpose of my endorsement of any commercial property, product or service, without my written permission.
As a member of the Great Falls Figure Skating Club, I agree to uphold the policies set forth by the Great Falls Figure Skating Club and United States Figure Skating, including (but not limited to) their code of ethics and SafeSport programs. Great Falls Figure Skating Club reserves the right to remove skaters and/or their guardians from the rink for reasons including (but not limited to) unpaid invoices, unsportsmanlike conduct towards other skaters or coaches, and failure to comply with rink or club policies.
I have read this release and waiver of liability, assumption of risk and indemnity; fully understand it; and am authorized to accept on behalf of the skater listed above.
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* indicates required fields
First Family Member($70)
Introductory Membership (for people who have never been a member of ANY club)($40)
Second Family Member residing in same household($40)
Additional Family Members residing in same household($30)