APPLICATION FORM
Please Detach & Mail
Miss/Ms..........................................................
Mr.Mrs.
ADDRESS..............................................
.....................................................
POSTAL CODE..........................................
PHONE................................................
SKATE CANADA # ......................................
HOME CLUB..................................................
(if not the London Skating Club)
Miss/Ms..........................................................
Mr.Mrs.
ADDRESS..............................................
.....................................................
POSTAL CODE..........................................
PHONE................................................
SKATE CANADA # ......................................
HOME CLUB..................................................
(if not the London Skating Club)
MEMBERSHIP FEES:
THURSDAY - SPRING - 13 Sessions - $140.00
MONDAY - SPRING - 12 Sessions - $165.00
MONDAY & THURSDAY SPRING - 25 Sessions - $300.00
MONDAY - SUMMER - 5 Sessions - $68.00
MONDAY - SPRING & SUMMER - 17 Sessions - $228.00
EVENING, SPRING & SUMMER & THURSDAY - 30 Sessions - $355.00
GUEST FEE - $ 14.00 (limit 2 Sessions Per Season)
SKATE CANADA FEE - $30.00
Please add to Membership Fee if not a member of Skate Canada club this past winter season.
NO REFUNDS
PLEASE COMPLETE THE ABOVE & MAIL WITH A CHEQUE PAYABLE TO:
THE LONDON SKATING CLUB
c/o 1200 RICHMOND STREET
LONDON ONT N6A 3L4
INFO: 519-434-1973 or 519-451-4527
The London Skating Club, Its Employees and Coaches
or the University of Western Ontario shall not be
held responsible for any accident, injury,death
or loss of personal property however caused.
NO REFUNDS
PLEASE COMPLETE THE ABOVE & MAIL WITH A CHEQUE PAYABLE TO:
THE LONDON SKATING CLUB
c/o 1200 RICHMOND STREET
LONDON ONT N6A 3L4
INFO: 519-434-1973 or 519-451-4527
The London Skating Club, Its Employees and Coaches
or the University of Western Ontario shall not be
held responsible for any accident, injury,death
or loss of personal property however caused.
