Fall 2018 / Winter 2019 Program Registration
kvfsc.rothesay@gmail.com

Please select from the available programs below. If you have any program related questions, please feel free to visit the programs section of our website or contact us via email at kvfsc.rothesay@gmail.com

Program:
Notes:

 
Skate Canada Number:
Skater's First Name:
Skater's Last Name:
Date of Birth:
Gender:
Medicare Number:
Address:
City or Town:
Postal Code:
Email Address:
Confirm Email Address:
Home Phone Number:
Cell Phone Number:
Parents/Guardians Name(s):
Emergency Contact Name:
Emergency Phone Number:
Allergies/Medical:

 
Do you consent to the release of photos for our Website, Newspaper articles, Bulletin Board, Facebook, etc.? Note that skaters names will only be released with parental consent.
Photo Release:

 
Notice of Collection Statement

Your privacy and the protection of your personal information is important to us. Your personal information is required to register you with Skate Canada in any capacity, including, without limitation, as a Skate Canada registrant, coach or in connection with your affiliation with a skating club or skating school and to administer various services, such as Skate Canada events. Your personal information may also be exchanged with Skate Canada affiliates which includes your local skating club or skating school or provincial association or section. By submitting this form, you expressly provide your consent to the sharing of your personal information with Skate Canada and as described herein for purposes of registration and receipt of national services delivered by Skate Canada. We adopt the 10 Fair Information Principles into our privacy program, and employ reasonable measures to protect against unauthorized access, processing, disclosure, alteration, destruction or loss of your personal information. See Skate Canada's Privacy Policy for more details.

For further information or comments regarding our protection of your privacy, please contact Skate Canada at safesport@skatecanada.ca.


 
Registration Pricing Details

Please note the registration includes a nonrefundable Skate Canada registration and insurance fee, Skate NB lottery tickets and KVSC administration fees totaling $50. Also included in our registration is a Fundraising fee of $40 which enables our club to not have to burden parents and skaters with any fundraising efforts during the year.

Advance CS, Intermediate and Senior program prices reflect prices for skaters that volunteer as Program Assistants on a regular basis. If your skater is not able to commit to volunteering regularly, please contact the club as additional fees may apply.