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131 West Easy Street Simi Valley, CA 93065 805-520-RINK

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              Iceoplex Simi Valley

                                                                                                            131 W. Easy St.

                                                                                                            Simi Valley, CA. 93065

(805) 520-7465 Ext. 13

(805) 520-9344 Fax

 

Skating School Registration                                                   

 

Date: ____/____/____                         Semester: ________/ ________                       New   or   Renewal (circle one)

Name:__________________________________________________________________

Address: ________________________________________________________________

City:                                                                  State:                Zip:                                        

Telephone#:__________________________E-Mail Address.:______________________

Birth date: ____/____/____      Age:                             Sex: (circle one)    M            F

Parent name:_____________________________________________________________

ISI Registered: (circle one)    No    Yes     #____________________________Exp.____________

How did you hear about us?                                                                                                    

 

Please refer to the enclosed class schedule to make your selection.

Class:_________________________Day:                                           Time:                          

Class:_________________________ Day:                                          Time:                          

Cost:    Tuition:             $                                 

            Administration Fee:       $                                   

            Adjustments:                 $                                 

            Total Due:                    $                                 

Please make checks payable to:  Iceoplex Arena

Taken by:_________________________________Voucher #______________________

Total Paid: Cash $                                Check $                                  Check #                     

VISA    M/C           

Account#________________________________________________Exp. ____________

Amount Paid:                                                    Signature: ___________________________

If you have not received a verbal confirmation within 7 days after faxing or mailing your registration form, please contact our office at (805) 520-7465 x 13

PLEASE SIGN CONTRACT AFTER READING THE CONDITIONS.

A SEPARATE REGISTRATION FORM MUST BE COMPLETED FOR EACH PERSON.

Policy and Conditions of Iceoplex Ice Arena:

· Iceoplex  Ice Arena reserves the right to change any class day and/or time.

· Classes with less than 5 students are subject to cancellation. Some levels may be combined in order to keep a class open.

·Make-up lessons:

Students who cannot attend a regularly scheduled class may take a make-up class, if available, provided it is before the end of the current semester. No refunds or credits will be made for absences or classes missed by the student. Some specialty classes (such as Stroking, Dance, etc) do not have make-up options.

·Refund Policy:

Iceoplex Ice Arena must receive written notice of class cancellation, with reason stated. There will be a $10.00 dollar cancellation fee, plus any regularly scheduled classes taught (attended or not) before dated cancellation is received. Any used public session or guest passes will be deducted from the refund. Registration fees are non-refundable. Cancellations cannot be received after the 3rd week of the current semester.

  • The Iceoplex Ice Arena will be reimbursed for the reasonable legal fees it incurs in the event that recourse to legal action becomes necessary for the recovery of tuition fees receivable.

·The Student and parent or legal guardian understand that ice skating, like most athletic activities, has a degree of unpredictability and risk involved with it and that injury can and sometimes do occur. The student and parent or legal guardian understand and assume all risks involved in the activity for which the student is enrolled, and agree that neither Iceoplex Ice Arena or any of its employees and/or subcontractors shall be liable for any injuries that may occur to the student or with regard to any damage to personal property, and agree to indemnify and hold Iceoplex Ice Arena and its employees harmless from any claims, damages, costs, including reasonable attorney fees, that may arise out of student participation in this activity. 

Parent/Guardian

Signature:____________________________           Date:______________________

           

Send mail to webmaster@iceoplexsimivalley.com with questions or comments about this web site.
Last modified: 06/10/10