EmailMe Form - October NCCP CanSkate Coach Course Registration

October NCCP CanSkate Coach Course Registration

October 23 - 25, 2015
8am to 5pm each day
Grande Cache, AB

Course Fee: $320.00

Registration Deadline Date: October 15, 2015

Note: In order to complete the registration form you will be required to upload documents. Please make sure that you have saved the necessary documents to your computer to ensure a smooth registration process.

If you have any questions regarding the registration process, please contact Leona at coaching@skateabnwtnun.ca

Name *
First Last
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Email *
Phone *
### - ### - ####
Birthdate (ddmmyyyy) *
Age (as of Oct. 15, 2015) *
Skate Canada Number
CC Number
Please note that the above CC number is not required in order to register for the course. If you do not have your CC number, instructions will be provided through email after registration. This number must be obtained prior to taking the course.
Note:

Participants must meet and submit the following when registering. Registrations will not be accepted without the required documentation.

Your Skate Canada Membership card and your highest test passed can be found at:

www.skatecanada.ca - Members Only - Personal Profile - General Information
Course Pre-Requisites (Check all the apply) *
Must be a registered Skate Canada Member for the 2015/2016 Season
Must have passed at least one complete Jr. Bronze STARSkate test
Must be 16 years of age
Will complete or have completed the NCCP CanSkate Pre Course Training Module (instructions will be provided through email after registration).
Upload your 2015-2016 Skate Canada Membership Card
Upload proof of complete Jr. Bronze STARSkate test
Upload proof of age *
I have uploaded the above pre-requisites for attending the NCCP Instruction Beginner CanSkate Course and understand that this is a requirement in order to attend the course.
Yes
Liability and Cancellation Policy

By checking the below box, it is understood and agreed that Skate Canada: Alberta-NWT/Nunavut will not be liable for injury or loss occasioned by the participant while traveling to or from or during the Course nor shall Skate Canada: Alberta-NWT/Nunavut be responsible for any damages or losses caused by the participant during the same time. The participant and/or the participant's parent/guardian agree to indemnify Skate Canada: Alberta-NWT/Nunavut and hold it harmless from any claims or demands in respect of such loss or damage.

By checking the below box, it is understood and agreed that cancellations occurring after the application deadline date will not receive a refund, unless a medical certificate is provided within two weeks of the course date. Cancellations prior to the application deadline date will receive a full refund less a $10.00 administration fee. Skate Canada: Alberta-NWT/Nunavut reserves the right to cancel any courses after the deadline date due to lack of registration. If the Section chooses to cancel a course, a full refund will be provided.
I have read and agree to the above Liability and Cancellation Policy
Yes
Payment Information
I understand that the course fee is $320.00 *
Yes
I would like to order the Primary STARSkate HomeStudy for an additional $60.00.
Yes
No
I am paying by *
Mastercard
Visa
Name on Card *
Credit Card Number *
Expiry (mmyyyy) *
Please send receipt to the following email address: *
Course confirmation and further details regarding the course will be sent via email.

After clicking 'Submit' button below your registration for the Instruction Beginner CanSkate Course is complete. Thank you for registering for the upcoming NCCP Instruction Beginner CanSkate Course.

Liability and Cancellation Policy

Payment Information