2007-2008
PLEASE NOTE: Per agreement with CFSC and Nashoba Valley ISI, all accounts must remain current to skate on this ice.
When you sign this form, you indicate that you have read all the information.
PRINT SKATER'S NAME___________________________________________
PHONE #__________________EMERGENCY #_________________
ADDRESS_________________________________TOWN____________________ST______ZIP_____________
SKATING LEVEL___________________________ISI OR USFSA# ________________
COACH'S NAME__________________________________________________________________
Skaters with no registration with USFSA or ISI may be on the ice only in a
lesson with a registered coach.
RELEASE STATEMENT:
I hereby assume all risks and hazards incidental to participation in any and all Nashoba Valley Olympia, Inc. activities during the current skating season. I hereby waive, release, absolve, indemnify and agree to hold harmless NVO, its management, sponsors, supervisors, participants, or professionals for any claim arising out of injury to me. If unable to reach a parent or guardian, NVO is granted to obtain emergency medical treatment. Skater and parent, please sign below.
_____________________________________________________________
SIGNATURE OF SKATER or PARENT/GUARDIAN if under 18 yrs of age
DATE:__________________________________
• NVO Ice Schedule • Registration •