ECFSC ICE CONTRACT APPLICATION FORM

DATE: _______________________________

Skater name: ___________________________________________________

Home phone: _____________

USFSA#: _______________________

Coach: ____________________________ Home club: ________________________________

ICE REQUEST SUMMARY

Full/ Assoc & Alumni/Summer Assoc.

Total Freestyle Sessions _____ X $ 9.50/10.50/11.00 = _________

Total Short Free Sessions _____ X $ 7.00/8.00/8.50 = _________

Total Moves Sessions _____ X $ 5.50/6.00/6.50 = _________

Subtotal $__________

Ice contract overpayment voucher credit -$__________

Rink Monitor credit -$ __________

Total amount due with contract application $___________

$213.00 full member ice commitment

$106.50 full member 1^st year status – completed tests - commitment

Contracts will not be honored if payment due is not paid.

Double check your contract application totals.

Make checks payable to ECFSC

Use separate envelopes and separate payments for each skater contract submitted.

Submit a separate check for random ice payments.

Mail completed application and payment to: Jeff / Crystal Erickson

1706 Peterson Ave.

Eau Claire WI 54703

Any questions please call : Jeff Erickson 715-559-2274

Crystal Erickson 715-559-2259