Registration Form

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Registration Form

West Haven Learn to Skate Program (Ages 4-12)

Skater's Name *

Age *

Birthday (MM/DD/YYYY) *

Skater's Experience *

Name of additional child:

Age

Birthday (MM/DD/YYYY)

Skater's Experience

Name of additional child:

Age

Birthday (MM/DD/YYYY)

Skater's Experience

Parent/ Guardian's Name (First and Last) *

Email *

Address (Street, City, Zip) *

Phone number *

Emergency Contact Name *

Emergency Contact Phone Number *

Participation Consent Form *

I understand the risks inherent in the above activity and release and discharge the West Haven Board of Education, the City of West Haven and their employees, officers and agents, from and against any injury, loss, damage or cost as a result of participation in said activity. In giving this consent, I specifically recognize and understand the risk posed by Covid-19 and assume the risk on behalf of my child, myself and members of my household that infection may occur in connection with participation in this activity, and agree on behalf of these individuals not to sue should my child, myself or any member of our household become infected with Covid-19 as a result of participation in this activity.

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