IceWorks Learn To Skate Registration Form

To register for an Ice Package online, please complete and submit the following form an proceed to credit card authorization form.

Contact Information
Skater's Name:
Skater's Age:     Birthdate: 
Applicant is: Parent/Guardian
Adult Skater (18 and older)
Parent's/Gauardian's Name: (required for skaters under 18)
Address:
City:
State:
Zip:
Home Phone:
Work/Daytime Phone:
Email:

Skater's Profile

  • Has the skater ever been on the ice? Yes No
  • Has the skater ever taken a lesson? Yes No
    If so, where?
  • Are you interested in Basic Hockey Skating Lessons?
    Please indicate current skill level
    Hockey  1    2    3    4    
  • If skater has taken a lesson a IceWorks or another accredited US Figure Skating rink, select the highest level passed.
    Snowplow SAM  1    2    3  
    Basic  1    2    3    4    5    6    7    8    
    Adult  1    2    3    4    
Session Selection

Calculate Price:
Make the appropriate selections to calculate your Class Fee. 

Session Total

2019 Winter #2 Session:
Feb. 23, 2019 thru Apr. 4, 2019

Clear Selection
Wednesdays - 6:30pm to 7:00pm
      2/27, 3/6, 3/13, 3/20, 3/27, 4/3 - $130.00
Thursdays - 12:45pm to 1:15pm
      2/28, 3/7, 3/14, 3/21, 3/28, 4/4 - $130.00
Saturdays - 1:30pm to 2:00pm
      2/23, 3/2, 3/9, 3/23, 3/30, 4/6 - $130.00
Satruday SYNCHRO - 1:30pm to 2:00pm
      2/23, 3/2, 3/9, 3/23, 3/30, 4/6 - $130.00
Sunday - 1:30pm to 2:00pm
      2/24, 3/3, 3/10, 3/24, 3/31, 4/7 - $130.00

Add: Tot/Parent Option +$65.00

$

2019 Spring #1 Session:
Apr. 27, 2019 thru May 23, 2019

Clear Selection
Wednesdays - 6:30pm to 7:00pm
      4/10, 4/24, 5/1, 5/8, 5/15, 5/22 - $130.00
Thursdays - 12:45pm to 1:15pm
      4/11, 4/25, 5/2, 5/9, 5/16, 5/23 - $130.00
Saturdays - 1:30pm to 2:00pm
      4/27, 5/4 & 5/11, 5/18, 6/1, 6/8 - $130.00
Satruday SYNCHRO - 1:30pm to 2:00pm
      4/27, 5/4 & 5/11, 5/18, 6/1, 6/8 - $130.00
Sundays - 1:30pm to 2:00pm
      4/28, 5/5, 5/12, 5/19, 6/2, 6/9 - $130.00

Add: Tot/Parent Option +$65.00

$

2019 Spring #2 Session:
May 28, 2019 thru June 13, 2019

Clear Selection
Tues & Thurs - 6:30pm to 7:00pm
      5/28 & 5/30, 6/4 & 6/6, 6/11 & 6/13 - $130.00

  Add: Tot/Parent Option +$65.00

$

2019 Summer #1 Session:
Jun. 18, 2019 thru Jul. 18, 2019

Clear Selection
Tues & Thurs - 6:30pm to 7:00pm
      6/18 & 6/20, 6/25 & 6/27, 7/9 & 7/11, 7/16 & 7/18 - $130.00

  Add: Tot/Parent Option +$65.00

$

2018 Summer #2 Session:
Aug. 8, 2019 thru Aug. 29, 2019

Clear Selection
Tues & Thurs - 5:30pm to 6:00pm
      8/6 & 8/8, 8/13 & 8/15, 8/20 & 8/22, 8/27 & 8/29 - $130.00

  Add: Tot/Parent Option +$65.00

$

Total: $

Medical Emergency
Hold Harmless Agreement
The above applicant agrees to follow the rules and regulations of IceWorks and releases an holds harmless Iceworks, from any and all injury and all liability, loss or damage.

Assumption of Risk Agreement and Release
Upon entering events sponsored by IceWorks and/or its Agents or Affiliates, I/We abide by the rules of IceWorks as currently published. I/We understand and appreciate that participation or observation of sports constitutes a risk to me/us of serious injury, including permanent paralysis or death. I/We voluntarily knowingly recognize, accept, and assume this risk and release IceWorks, it affiliates, their sponsors, events organizers and officials from any liability thereof.

Medical Release
The above applicant does hereby authorize IceWorks and its employees and agents to make any and all decisions in my absence regarding medical emergency treatment of the above applicant and to sign the necessary hospital release forms in order to obtain medical attention. In case of emergency I can be reached at the number provided in the above form.

Please select the following drop down box to indicate your agreement with regard to the above Medical Emergency and Assumption of Risk statements. Upon submission of this form, user/applicant agrees that he/she is over 18 years of age or is the legal guardian of the person indicated in the "Name" fields of this form.

Comments: Please submit any additional comments that may help us in processing your application.