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Membership Registration

Date post: 04-Mar-2016
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- MEMBERSHIP REGISTRATION - JOIN THE CREW! PERMISSION PARENT SIGNATURE: DATE: BILLING INFO NAME ON CARD: BILLING ZIP CODE: VCODE: GUARDIAN EMAIL: ADDRESS: FIRST NAME: LAST NAME: F M RELATION TO CHILD: SEX: OTHER: FATHER MOTHER CITY: STATE: ZIP: CELL PHONE: HOME PHONE: CREW MEMBER / / EMAIL: ADDRESS: DATE OF BIRTH: FIRST NAME: LAST NAME: F M SHIRT SIZE: SEX: XXL XL L M S CITY: STATE: ZIP: CELL PHONE: HOME PHONE: CARD NUMBER: / EXPIRATION DATE: OFFICE USE ONLY SK8 CLASSIC CREW The undersigned hereby releases from liability and agrees to indemnify and hold harmless Classic Fun Center, and its employees, representatives and agents for any and all liability for personal injuries (including death), property loss, or damages resulting from activities, lessons, performances, etc. The undersigned and/or participant agrees to abide by all the rules and regulations promulgated by Classic Fun Center and Classic SK8 Crew. Furthermore, permission is granted to allow Classic Personnel to provide rides when necessary and to use participants names, pictures, and/or likeness in printed media, broadcasting, websites, advertising, sale of goods, etc. Additionally, Classic Fun Center Management reserves the right to reject admission and/or participation in the Classic SK8 Crew or to Classic Fun Center at their discretion! By signing below, you authorize Classic Fun Center to bill your credit card for Crew Dues ($25 per month) on the first business day of each month. PICTURE T-SHIRT CARD DATE JOINED: RECEIVED: / / DATE: AMOUNT PAID: INITIALS: / / DATE: AMOUNT PAID: INITIALS: / / DATE: AMOUNT PAID: INITIALS: / / DATE: AMOUNT PAID: INITIALS: / / DATE: AMOUNT PAID: INITIALS: / / DATE: AMOUNT PAID: INITIALS: / / DATE: AMOUNT PAID: INITIALS: / / DATE: AMOUNT PAID: INITIALS: / / DATE: AMOUNT PAID: INITIALS: / / DATE: AMOUNT PAID: INITIALS: / / DATE: AMOUNT PAID: INITIALS: / / DATE: AMOUNT PAID: INITIALS: / / • FREE SK8-Crew T-Shirt When You First Join the Crew! • Personalized Membership Card With Your Picture! • PRIVATE SK8 Crew Practices Each Week For Free! • Skating Admission (Any Session) Only $1.00! • Other Activities (Any Session) Only $1.00 Each! • Drinks & Hot Food Items (Any Session) Only $1.00! • 20% Off Any Pro-Shop Purchase! (Skates, Parts, Etc.) • 20% Off Classic Fun Center Birthday Party Plans! • 1/2 Price On Any Classic Sponsored Jam Competition! • Free Skating Admission For You, Your Family And Friends Two Times Per Year On “Crew Night”! • 3 Different Crew Advancement Levels To Achieve! • Opportunities To Travel & Perform With The Crew! • Contests, Skill Games, And Cool Awards Each Week! • Opportunities To Work At Classic Fun Center! • Lots Of Friends, Fun And Fitness...All Rolled Into One! WARM-UPS $ $ PADS $25 PER MONTH Only... CREW BENEFITS Jared • (801)918-5177 9151 S. 255 W. • Sandy, Utah www.classicSK8crew.com
Transcript

- MEMBERSHIP REGISTRATION -JOIN THE CREW!

PERM

ISSIO

N

PARENT SIGNATURE: DATE:

BILL

ING

INFO NAME ON CARD:

BILLING ZIP CODE: VCODE:

GUAR

DIAN

EMAIL:

ADDRESS:

FIRST NAME: LAST NAME:

FM RELATION TO CHILD:SEX: OTHER:FATHERMOTHER

CITY: STATE: ZIP:

CELL PHONE: HOME PHONE:

CREW

MEM

BER

/ /

EMAIL:

ADDRESS:

DATE OF BIRTH:

FIRST NAME: LAST NAME:

FM SHIRT SIZE:SEX: XXLXLLMS

CITY: STATE: ZIP:

CELL PHONE: HOME PHONE:

CARD NUMBER:

/EXPIRATION DATE:

OFFICE USE ONLY

SK8CLASSIC

CREW

The undersigned hereby releases from liability and agrees to indemnify and hold harmless Classic Fun Center, and its employees, representatives and agents for any and all liability for personal injuries (including death), property loss, or damages resulting from activities, lessons, performances, etc. The undersigned and/or participant agrees to abide by all the rules and regulations promulgated by Classic Fun Center and Classic SK8 Crew. Furthermore, permission is granted to allow Classic Personnel to provide rides when necessary and to use participants names, pictures, and/or likeness in printed media, broadcasting, websites, advertising, sale of goods, etc. Additionally, Classic Fun Center Management reserves the right to reject admission and/or participation in the Classic SK8 Crew or to Classic Fun Center at their discretion!

By signing below, you authorize Classic Fun Center to bill your credit card for Crew Dues ($25 per month) on the first business day of each month.

PICTURET-SHIRT CARD DATE JOINED:RECEIVED: / /

DATE: AMOUNT PAID: INITIALS:/ /

DATE: AMOUNT PAID: INITIALS:/ /

DATE: AMOUNT PAID: INITIALS:/ /

DATE: AMOUNT PAID: INITIALS:/ /

DATE: AMOUNT PAID: INITIALS:/ /

DATE: AMOUNT PAID: INITIALS:/ /

DATE: AMOUNT PAID: INITIALS:/ /

DATE: AMOUNT PAID: INITIALS:/ /

DATE: AMOUNT PAID: INITIALS:/ /

DATE: AMOUNT PAID: INITIALS:/ /

DATE: AMOUNT PAID: INITIALS:/ /

DATE: AMOUNT PAID: INITIALS:/ /

• FREE SK8-Crew T-Shirt When You First Join the Crew!• Personalized Membership Card With Your Picture!• PRIVATE SK8 Crew Practices Each Week For Free!• Skating Admission (Any Session) Only $1.00!• Other Activities (Any Session) Only $1.00 Each!• Drinks & Hot Food Items (Any Session) Only $1.00!• 20% Off Any Pro-Shop Purchase! (Skates, Parts, Etc.)• 20% Off Classic Fun Center Birthday Party Plans!

• 1/2 Price On Any Classic Sponsored Jam Competition!• Free Skating Admission For You, Your Family And Friends Two Times Per Year On “Crew Night”!• 3 Different Crew Advancement Levels To Achieve!• Opportunities To Travel & Perform With The Crew!• Contests, Skill Games, And Cool Awards Each Week!• Opportunities To Work At Classic Fun Center!• Lots Of Friends, Fun And Fitness...All Rolled Into One!

WARM-UPS$ $PADS

$25PER MONTH

Only...

CREW

BEN

EFIT

S

Jared • (801)918-51779151 S. 255 W. • Sandy, Utah www.classicSK8crew.com

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