ESQUIMALT SPEED SKATING CLUB REGISTRATION
Esquimalt Arena, 1151 Esquimalt Rd.
ICE TIMES: TUESDAYS @ 6:00-7:30PM
THURSDAYS @ 6:00-7:00PM
SATURDAYS @ 6:30-7:30AM
FEES: ONE SKATER $225.00 / TWO SKATERS $400.00 /
THREE SKATERS $500.00
Buddy Club Registration with Peninsula Speed Skating $50.00 per skater
NAME:________________________________________________________
ADDRESS:_____________________________________________________
POSTAL CODE____________________ PHONE #______________________
EMAIL ADDRESS:________________________________________________
BIRTHDATE______________________ AGE ON JULY 1,2006___________
SEX: M F BC SKATING #______________________________
In consideration of my accepting this registration, I hereby, for myself, my heirs, executors, administrators and assigns waive and release any and all rights and
claims for damages I may have against the Esquimalt Speed Skating Club, its agents
officers or members, for any and all injuries suffered by me during the 2006-2007 season.
(date)____________________(signature)___________________________________
parent or guardian if under 18 yrs. of age
skate rental_____________________ size_____________