S.C.P.S.C. InStar Athletics Workshop 2016

We are pleased to offer this Workshop Led by InStar Althletics
·	Session 1: Seniors  11am start
·	Session 2: Juniors/Intermediates 12pm start

Registration fee: $100

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S.C.P.S.C. InStar Athletics Workshop 2016:
 Name: 	

Age: 	

Address: 	

Postal Code: 	

Parent/Guardian: 	

Phone: 	

E-mail:_ 	

  StarSkate Level: 	
Skating Club:______________________

Circle Session:  1	2		

I hereby release SCPSC from all claims for damage arising from any accidents or injury which are caused by or arise from participation of the applicant named above, during any program or
location where the program is being held.

Signature: 	

                                                                                                                                            Date: 	

Please return completed bottom portion with payment (cash or cheque Payable to S.C.P.S.C).