Americas Ice Garden
Camp Registration


 

Today's Date:  MM/DD/YY
*First name  
*Last name
Age:   D.O.B.:  MM/DD/YY
Address:   City:   Zip: 
Home #:   xxx-xxx-xxxx
Office#:   xxx-xxx-xxxx
Cell #:  xxx-xxx-xxxx
Email: 
 


SELECT ONE OR MORE OPTIONS BELOW:

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Summer Show Camp - Chitty Chitty Bang Bang - 2011
June 6 - 17 (9am - 3pm / M-F)


$400 Full Camp: June 6 - June 17 (For LTS Students enrolling prior to April 1, 2010)
$450 Full Camp: June 6 - June 17 (For non-LTS Students enrolling prior to April 1, 2010)
$500 Full Camp: June 6 - June 17 (anyone enrolling after April 1, 2010)
$25 After Care: Per day (supervised after-care from 3-5)
$100 After Care: Entire Show Week (supervised after-care from 3-5)

For Groups of 10+ Please Call for Pricing (Jeanette Neal - 214-720-8011)

Show Tickets
On-Ice Seating - June 16- Day Performance
Off-Ice Seating - June 16- Day Performance
On-Ice Seating - June 17- Evening Performance
Off-Ice Seating - June 17- Evening Performance


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Summer Camp 2011

Camp (full week):
May 30-June 3, June 20-24, June 27-July 1, July 5-8, July 11-15, July 18-22, July 25-29
(8:30am - 2:00pm / M-F)

Pay $225 for full week: May 30-June 3
Pay $225 for full week: June 20-24
Pay $225 for full week: June 27-July 1
Pay $225 for full week: July 5-8
Pay $225 for full week: July 11-15
Pay $225 for full week: July 18-22
Pay $225 for full week: July 25-29
$25 After Care: Per day (supervised after care from 2-4pm)
$100 After Care: Entire Show Week (supervised after care from 2-4pm)


or Select One or More Days at $50 each Day
Monday May 30 June 20 June 27 July 4 July 11 July 18 July 25
Tuesday May 31 June 21 June 28 July 5 July 12 July 19 July 26
Wednesday June 1 June 22 June 29 July 6 July 13 July 20 July 27
Thursday June 2 June 23 June 30 July 7 July 14 July 21 July 28
Friday June 3 June 24 July 1 July 8 July 15 July 22 July 29





Payment Method: CHARGE  (secure site)
Card Holder Name:


Credit Card Number:
- - -  

Exp. Date:  

Total Amount to be charged to card: $

No refunds or credits for lessons missed due to the fault of the skater.

Please read the following information, then type full name and press agree to send this form

AMATEUR ATHLETIC WAIVER AND RELEASE OF LIABILITY

In consideration of being allowed to participate in any way in the athletic/sport program, related events and activities, the undersigned acknowledges, appreciates and agrees that;

1. The risk of injury from the activities involved with this program is significant, including the potential for permanent paralysis and death, and while particular rules, equipment and personal discipline may reduce that chance, the risk of serious injury does still exist: and

2. I knowingly and freely assume all such risk, both known and unknown, even arising from the negligence of the releases or others, and assume full responsibility for my participation: and

3. I willingly agree to comply with the stated customary terms and conditions for participation. If however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest official immediately: and

4. I for myself and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless Americas Ice Garden and Rink Management Services, their officers, officials and or employees, other participants, sponsoring agencies, sponsors, advertisers and if applicable, owners lessors of the premises used to conduct the event ("releases"), with respect to any and all injury, disability, death, or loss or damage to person or property, whether arising from the negligence of the releases or otherwise.

Name of participant or participants legal guardian if under 18.
Printed Name: 

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AND FULLY UNDERSTAND ITS TERMS. I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY TYPING NAME, AND SELECT AGREE FREELY WITHOUT ANY INDUCEMENT.



 AMERICAS ICE GARDEN
700 NO. PEARL - DALLAS, TX 75201
214.720-8080 - FAX: 214-720-8089
WWW.AMERICASICEGARDEN.COM