Professional Staff Information Karen Healey
(315) 265-1024 Intermediate Freestyle, Pre Silver Dances
Alicia Walter
(315) 328-4008,
[email protected] Gold Medalist, PSA Senior Rated
Danielle Bartow
(315) 268-1428 Quadruple Gold Medalist, PSA Member
GUEST COACHES Tara Bartlett Michael Bartow Lisa Cardinal Tomas Morbacher
$100 DEPOSIT DUE FOR EACH APPLICATION FOR SESSIONS 1 & 2
FULL PAYMENT DUE: July 1, 2016 *ALL GUEST SKATERS MUST PAY FEE BEFORE EACH SESSION AND BEFORE STEPPING ON ICE*
SEND APPLICATION TO: Clarkson University Cheel Arena Box 8734, 8 Clarkson Ave. Potsdam, NY 13699 ATTN: 2016 Figure Skating School INSURANCE: Each student must be covered by family or other accident insurance and also by family or other health insurance. Insurance covering personal possessions is not provided. Parents or Guardians are to consult with an insurance advisor to ensure that students have adequate coverage for accidents, illness and personal possessions. EQUAL OPPORTUNITY POLICY: Clarkson University does not discriminate on the basis of race, gender, color, creed, religion, national origin, age, disability, sexual orientation, veteran or martial status in provision of educational opportunity or employment opportunities and benefits
Clarkson University Cheel Arena 8 Clarkson Avenue Potsdam, NY 13699
2016 Summer Figure Skating School
CHEEL ARENA July 25 — August 19 USFS TEST 8/20
4-WEEK SESSION SPECIAL PRICE
Tentative Summer Ice Schedule Instructions are additional. Limited space available for these sessions: Session I: Monday-Friday
Ice time only, make your own arrangements for private lessons 2:45-4:15
Session II: Monday-Friday
Ice time only, make your own arrangements for private lessons 4:30-6:00
Badge School I: July 25-August 17
Mondays and Wednesdays: 6:15-7:15 Beginner skaters thru Freestyle 6 Includes one 15 minute lesson and one hour of ice time. Can also make arrangements for private lessons.
Adult School I: July 25-August 17
Mondays and Wednesdays: 7:15-8:15 Includes one 15 minute lesson and one hour of ice time. Can also make arrangements for private lessons.
Name: Age: Birthdate:____/____/_______ Gender: Parent(s)/Guardian(s) Name: Address: Email: Phone #’s Home: Cell: Work Tests Passed: Freestyle: Moves: Dance: USFS#: *All skaters must be registered with the USFS by July 1st*
Home Club Permission: Your home club test chairman/club officer must sign below to certify that you are eligible in accordance with the USFS to participate in a USFS test session. It must be signed before submittng this application. Chairman/Club Officer Signature:
ADULT SCHOOL: (Monday or Wednesday) $15/day (Monday & Wednesday) $25 for both days
# of Days: # of Weeks:
x $15= x $25=
BADGE SCHOOL: (Monday or Wednesday) $15/day (Monday & Wednesday) $25 for both days
# of Days: # of Weeks:
x $15= x $25=
Current Badge Level:
Weeks Requested: (Select from these weeks for Badge and Adult Schools above, and week-long classes below)
TENTATIVE TEST DATE: SATURDAY, AUGUST 20 **Early Registration Special** Full 4-week session package only (Not for Adult/Badge Schools) Application received by July 1st and paid in full, will receive a $25 discount per 4-week package ($335 total) For more information on ice times, contact: Karen Healey: 315-265-1024 For any other questions, contact: Shawn Grant: 315-268-4327
July 25-29
August 1-5
*Skaters work on USFS test* Session I: 1-4 weeks # of Weeks: Session II: 1-4 weeks # of Weeks: Make payment to “Clarkson University.” Deposit is $100 of the total with each individual. Non-refundable processing fee (Not additional): $25
August 8-12
August 15-19
x $90 = x $90 = *Please submit completed Health Form with Application*
For an Electronic version of this Application, visit: www.clarksonathletics.com, under the “Fitness CTR/ REC” tab, click on “Camps & Clinics”
Please Note: Four week package skaters will have priority in scheduling. Guest skating is on a space available basis only and will cost $25/session. This fee must be paid BEFORE stepping onto the ice before each session.
I have read and agree to abide by the Guiding Principles (And parent/guardian if skater is under 18 years of age)
Skater’s Signature: Date: Parent/Guardian Signature: Date: