SPECTACULAR ADULT SKATING CAMP

for spectacular adult skaters of all levels!
Friday/Saturday, August 26-27, 2013
Hosted by the St. Paul Figure Skating Club at
Pleasant Arena, 848 Pleasant Ave, St. Paul, MN 55102

Enjoy a "pleasant"experience refining and developing your technical skills!

For all adult singles skaters who want to enhance their skating skills

Competitive and testing adult skaters at all levels are welcome.

Skater's First Name

Skater's Last Name

Gender

USFS #

Street Address

City

State

Zip

Email Address

Phone

Highest Freestyle Test Passed

Highest jump landed consistently

Home Club and coach

Camp Fee: $325 ~ Submission Deadline: 11:59 pm ~ July 1, 2013
Note: $25 early-bird discount ~ form must be received by 11:59 pm ~June 15, 2013!

Seminar Fee ($325)

Early Bird Special - by 6/1/13 ($300)

Camp T Shirt

Limited private lessons with presenters available at additional cost. First come/first serve basis. Check box below and indicate priority. Lesson times & cost will be confirmed with schedule information in early July.

Seminar Fee: $325.00

INSURANCE WAIVER

I, the undersigned, hereby give my consent to participate in the July 30-31, August 1, 2010 seminar hosted by St. Paul FSC (SPFSC) at Pleasant Arena. I understand that (SPFSC), Ramsey County, its employees and/or volunteers assume no liability for me while participating in, or traveling to or from this program. I understand that SPFSC and Ramsey County are not responsible for the actions or inaction of others on or off of the ice. I also certify that I am covered by medical health insurance and agree in case of medical emergency to allow myself to be transported to the nearest medical facility by emergency medical service. I fully recognize the possibility of physical injury associated with the activity which I desire to participate in, and hereby release SPFSC, Ramsey County and its officials, employees, contractors, and volunteers, from any and all claims for property damage and/or personal injury arising out of my participation in this activity. NO MAKEUP LESSONS OR REFUNDS.

Submission of this form means that I agree with the above statement

Yes I agree

Submission of this form means that you recognize this is a binding contract and agree to pay the amount for which you've contracted.

Yes I agree

Indicate method of payment - please print the next screen for your records.

Paying by PayPal

Paying by check (mail check payable to SPFSC to SPFSC%Lexie Kastner, P O Box 296, Deerwood MN 56444)

Pre Event Preparation - Debbie Warne-Jacobsen	1st (PP)	2nd (PP)
Off Ice Jump Harness- Debbie Warne-Jacobsen	1st (JH)	2nd (JH)
Edges - Peter Biver	1st (ED)	2nd (ED)
SOMA- Tara Stamm	1st (SMA)	2nd (SMA)
Hip Hop - Tara Stamm	1st (HH)	2nd (HH)
Jumps - Val Matzke	1st (JMP)	2nd (JMP)
Spins - Carey Tinkelenberg	1st - (SP)	2nd - (SP)
Knee Injury Prevention - Elaine Walin	1st - (KNE)	2nd - (KNE)
Strength Training - Elaine Walin	1st- (ST)	2nd- (ST)
Yoga - Amanda Truax	1st- (YO)	2nd- (YO)
Ballet - Amanda Truax	1st- (BA)	2nd - (TM)