**Please note: the Skate Canada membership fee of $43.65 is non-refundable**
Liability Waiver: It is understood and agreed, as a condition of participation in skating programs offered by the
Waldheim Skating Club and Skate Canada, that neither the Club nor Skate Canada shall be liable of any
injury, loss or damage suffered by the above noted member while traveling to or participating in skating
practices, competitions or other activities, however caused. It is further agreed that neither the Club nor Skate
Canada is responsible for any injury, loss or damage caused by the member while traveling to or from or while
participating in the said practices, competitions or other activities. The member, or his/her parent/legal
guardian who has signed this form, shall identify the Club and Skate Canada and hold them harmless from
any claims, demands or actions arising from, or in respect of, such injury loss or damage.
Notice of Collection Statement:Your privacy and the protection of your personal information is important to
us. Your personal information is required to register you with Skate Canada in any capacity, including, without
limitation, as a Skate Canada registrant, coach or in connection with your affiliation with a skating club or
skating school and to administer various services, such as Skate Canada events. Your personal information
may also be exchanged with Skate Canada affiliates which includes your local skating club or skating school
or provincial association or section. By submitting this form, you expressly provide your consent to the sharing
of your personal information with Skate Canada and as described herein for purposes of registration and
receipt of national services delivered by Skate Canada. We adopt the 10 Fair Information Principles into our
privacy program, and employ reasonable measure to protect against unauthorized access, processing,
more details. For further information or comments regarding our protection of your privacy, please contact
Skate Canada at firstname.lastname@example.org.
Payments made by cheque or cash will be due on or before the first lesson.