Kansas City Figure Skating Club
2009/2010
Club Ice Contract
Please refer to the full Ice Contract found on the KCFSC web site for full details regarding KCFSC Club Ice.
Skater Information
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Skater #1 First Name:
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Skater #1 Last Name:
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USFS #:
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Skater #1 Home Club:
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Skater #1 Primary Coach:
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Please indicate the sessions that Skater #1 is signing up for:
Monday 4:30PM - 5:30PM
Monday 5:40PM - 6:40PM
Wednesday 4:30PM - 5:30PM
Wednesday 5:40PM - 6:40PM
Saturday 8:40AM - 9:40AM
Saturday 9:50AM - 10:50AM
Skater #2 First Name:
Skater #2 Last Name:
USFS #:
Skater #2 Home Club:
Skater #2 Primary Coach:
Please indicate the sessions that Skater #2 is signing up for:
Monday 4:30PM - 5:30PM
Monday 5:40PM - 6:40PM
Wednesday 4:30PM - 5:30PM
Wednesday 5:40PM - 6:40PM
Saturday 8:40AM - 9:40AM
Saturday 9:50AM - 10:50AM
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Please indicate the total number of sessions contracted per week for all skaters on this contract:
1 Session per Week
2 Sessions per Week
3 Sessions per Week
4 Sessions per Week
5 Sessions per Week
6 Sessions per Week
7 Sessions per Week
8 Sessions per Week
9 Sessions per Week
10 Sessions per Week
11 Sessions per Week
12 Sessions per Week
Billing Information
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1st Parent Name:
2nd Parent Name:
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Address:
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City:
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State:
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Zip:
Home Phone Number:
Cell Phone Number:
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Contact E-mail:
Legal Stuff
By selecting "All Parties Agree" below, that acts as the electronic signature for all parties in this contract.
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All parties, skaters and parents, have read and agree to all rules and conditions detailed in the KCFSC Club Ice Information Sheet and Contract.
All parties agree.
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Indicates Response Required