Register Online

IMPORTANT INFORMATION

Parents/Guardians must read the following documents prior to completing registration:

Skate canada's assumption of risk &
waiver statement

information collection statement & informed consent & media release statement

program information for parents - please read

Online Registration for lessons

* Indicates required field

Preferred method of payment *

Parent/Guardian Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Do you live in the Town of Assiniboia? *

If no, what RM do you live in? *

Skater information:

Is this a new skater? *

If known, Skate Canada number: *

Lesson choice *

Name *

First

Last

Birthdate *

Saskatchewan Health Card number *

Known medical issues *

Emergency contact information (other than parent/guardian - will be contacted if parent/guardian cannot be reached):

Emergency contact name *

First

Last

Phone Number *

Fundraising requirement *

I understand that all Families are required to participate in all fundraisers. I agree to pay $200 at the end of the year if I do not participate.

Consent to Skate Canada Assumption of Risk & Waiver Form:

I have read the Skate Canada Assumption of Risk and Waiver form. I am aware of the nature and effect of this Assumption of Risk and Waiver and I fully understand all of the terms and conditions therein. I understand that I have given up substantial rights by acknowledging this Assumption of Risk and Waiver and I am authorizing it freely and voluntarily without inducement. Parent/Guardian: I certify that I am the parent or legal guardian of the participant named below and that I am entitled to his or her custody and control. I understand the aforesaid inherent risks that could arise from these activities, I grant permission for my son/daughter/ward to participate in the Sports Activity and other activities incidental thereto and I execute this Assumption of Risk and Waiver on behalf of myself and my son/daughter/ward. *

By checking the box, I acknowledge the above statement regarding the Skate Canada Assumption of Risk & Waiver form.

Consent to Skate Canada Information Collection Statement:

Your privacy and the protection of your personal information is important to us. Your or your child’s personal information is required to register you or your child with Skate Canada in any capacity, including, without limitation, as a Skate Canada registrant, coach or in connection with your affiliation with a skating club or skating school and to administer various services, such as Skate Canada events. Your personal information may also be exchanged with Skate Canada affiliates which includes your local skating club or skating school or provincial association or section. By submitting this form, you expressly provide your consent to the sharing of your personal information with Skate Canada and as described herein for purposes of registration and receipt of national services delivered by Skate Canada. We adopt the 10 Fair Information Principles into our privacy program, and employ reasonable measures to protect against unauthorized access, processing, disclosure, alteration, destruction or loss of your personal information. See Skate Canada's Privacy Policy for more details. *

By checking the box, I acknowledge the above statement regarding the Skate Canada Information Collection statement.

Assiniboia Skating Club Informed Consent & Media Release:

I have read and understood ASC's Informed Consent & Media Release statement as provided on this registration page. I hereby acknowledge my consent. *

By checking this box, I acknowledge the above statement regarding ASC's Informed Consent & Media Release Statement.

Submit Registration

Payment plans accepted. At least half of skate fees must be received prior to the start of lessons on November 1, 2021 and the remaining balance is due on or before January 1, 2022.

E-transfers can be sent to assiniboiaskatingclub@gmail.com.

Cheques can be mailed to: Assiniboia Skating Club, PO Box 1672, Assiniboia SK S0H0B0

information collection statement &
informed consent & media release statement

Skate canada's assumption of risk &
waiver statement