Spring Show Registration - Auburn (Web)

FMC Ice Sports and the Horgan Arena Present a
Spring Skating Exhibition
Saturday, April 30th, 2016
4:00 - 6:00pm
All ages and abilities encouraged to participate
Showcase your skills to family and friends
Horgan Arena • 400 Oxford Street North, Auburn, MA 01501
(Toll Free) 1-888-74-SKATE • (Arena Phone) (508) 832-7201 • www.fmcicesports.com
Spring Skating Exhibition Registration
Register By: March 19, 2016
Skater’s Full Name: ______________________________________________________ Age: ___________ Gender: ___________
Participating Level / Program Name: _________________________________________ Day of the Week: __________________
Address: _________________________________________________ City/Zip: ___________________________________________
Phone Number: _____________________________________ Email: ___________________________________________________
Parent/Guardian: ______________________________________ Coach Name:___________________________________________
What kind of program are you skating? Please check all that apply:
 Group Number $25.00 Includes:
• Group Rehearsals: 4/20 & 4/27 from 4:00-5:20pm
• One guest pass for family skate
• Pizza party
Group number will be choreographed by staff. See Skating Director for more information.
 Soloist $40.00 Includes:
• 2 guest passes for family skate
• Pizza party
Name of Music: ___________________________________________ Name of Coach: ________________________________________
Solo program must be choreographed by a private coach. See Skating Director for more information.
Total Amount Due: $______________
Payment Method (check one)
 Cash  Check payable to FMC Ice Sports
Check #_________
WAIVER: I, the undersigned, do hereby acknowledge that my child, by participating in the Spring Skating Exhibition, may be exposed to risk of injury
that is inherent in ice skating programs. I hereby acknowledge that Facility Management Corporation and the FMC staff are not responsible for any
damage or injuries that result from their participation in this program.
________________________________________________________________________
Parent/Guardian Signature
Date
Horgan Arena • 400 Oxford Street North, Auburn, MA 01501
(Toll Free) 1-888-74-SKATE • (Arena Phone) (508) 832-7201 • www.fmcicesports.com