Register for Special Olympics Speed Skating

Register for Special Olympics Learn to Skate, Learn to Speed Skate, or Speed Skating

* Indicates required field

Name *

First

Last

Birthdate *

Gender identity *

Contact Information

Address *

Phone *

Email *

Days *

Tuesday Thursday

Choose One *

6:30 PM Special Olympics Learn to Skate / Learn to Speed Skate 7:10 PM Special Olympics Speed Skating Skills Development

Medical Profile (information coaches should have to ensure skater safety)

Pre-existing or previous illnesses or injuries/allergies/current medications *

Emergency Contact

Name *

Phone *

Waivers and Permissions

Speed Skating Canada Waiver

Members must read and agree to the Speed Skating Canada Waivers at this link.

Speed Skating Canada Waivers *

I confirm that I have read and agree to the Speed Skating Canada Waivers

Photo/Video Permission

I give permission to the Dartmouth Crossing Speed Skating Club to use skating related photos of video of me or my children, in all manner of media, in order to promote the club and the sport of speed skating. *

Yes No

Dartmouth Crossing Speed Skating Club Waiver

It is understood that the sport of speed skating involves risks, and that while the organization takes precautions as specified by Speed Skating Canada to minimize those risks, there is still some risk of accident or injury. In consideration of registering for this program any and all rights and claims for damages against the Dartmouth Crossing Speed Skating Club, its agents, officers or members or any sponsors including medical staff, for all and any injuries suffered for the duration of the program and hereby waived and released.

Members and parents/caregivers will read and keep updated on the Covid protocols in place in the province and at the RBC Centre during the season.

This information is collected under the authority of the Freedom of Information and Protection of Privacy Act. It is
required to register you in the program.

Alternative contact and medical information will only be used in a medical emergency. If you have questions about the collection of or use of this information, contact the Dartmouth Crossing Speed Skating Club at DCspeedskate@gmail.com.

DCSSC Waiver *

I confirm that I have read and agree to the DCSSC Waiver

When you click submit, you will be redirected to a payment page. This payment is a voluntary contribution to the program costs and is not required if it is not affordable. Your form will be forwarded to the registrar as soon as you hit Submit and your registration will be complete at that point. You can exit from the payment page without completing it.

Submit

Dartmouth Crossing Speed Skating Club recognizes the support of the Province of Nova Scotia. We are pleased to work in partnership with the Department of Communities, Culture and Heritage to develop and promote our cultural resources for all Nova Scotians.

We would like to acknowledge the advice, encouragement and support of Sport Nova Scotia as we work together to assist Nova Scotians to lead happy, healthy lives through participation in recreational and competitive sport experiences.

We are pleased to work in partnership with Special Olympics Nova Scotia to offer Special Olympics speed skating programming to skaters of all ages and abilities.

Many thanks go out to these funding sponsors for helping us make skating and speed skating a part of the lives of more Nova Scotians:

TRUEFAUX FILMS INC.

Many thanks to John Hillis for our Learn to Skate and Special Olympics videos and to Hannah Minzloff, for this website design!

Thanks to Capstone Building Products for supporting our programs as we bring speed skating back to Dartmouth!

BCHRIST PHOTOGRAPHY

Dartmouth Crossing Speed Skating would like to thank Bill Christ for allowing the use of his speed skating images to promote our sport.

Support

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