ASAI (Amateur Skating Association of Illinois)
Spring/Summer Speedskating Registration
Please use this form to register for our upcoming spring/summer session.
These sessions are open to skaters of all levels - Beginning to Advanced - and will be a mixture of drills, games, and races. Each week will have a different focus. Sign up for all or just a few.
Sessions meet from 3:15-5:00pm on Sundays at Center Ice
(4/30, 5/7, 6/4, 6/11, 7/9, 7/16, 8/6, 8/13).
(Starting the Sunday after Mother's Day, join us immediately following for Dryland at Lake Ellyn)
Address Line 2
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Bosnia and Herzegovina
British Indian Ocean Territory
Central African Republic
Democratic Republic of the Congo
Republic of the Congo
Papua New Guinea
Saint Kitts and Nevis
Saint Vincent and the Grenadines
Sao Tome and Principe
Trinidad and Tobago
United Arab Emirates
United States Minor Outlying Islands
Virgin Islands, British
Virgin Islands, U.S.
Session choice - pick from the following - if you choose the Full Session DO NOT choose the individual dates
Full Session (4/30, 5/7, 6/4, 6/11, 7/9, 7/16, 8/6, 8/13) - 8 sessions
Punch Card - any 4 dates
I will need to rent skates (Rental fees will be $1/day payable at the rink)
Location: Center Ice of Du Page, Glen Ellyn, IL Dates: April 2017 – March 2018
Events: Introductory, Learn to Speedskate (LTS) & GESS Program hosted
An EMT will not be present, in case of an emergency; the Glen Ellyn Fire Department will be called.
NOTE: THIS FORM MUST BE READ AND SIGNED BEFORE THE PARTICIPANT IS PERMITTED TO TAKE PART IN THE EVENT LISTED ABOVE. BY SIGNING THIS AGREEMENT, THE PARTICIPANT AFFIRMS HAVING READ IT.
IN CONSIDERATION of my involvement in the sport and activities under the auspices of U.S. Speedskating, ASAI, and Glen Ellyn Speed Skating, Inc. acknowledge, appreciate and agree that:
1. I RISK BODILY INJURY, INCLUDING PARALYSIS, DISMEMBERMENT, DISABILITY AND DEATH, AND while particular rules of my sport, equipment, and personal training and discipline may reduce this risk, THIS RISK OF INJURY DOES EXIST, AS WELL AS THE RISK OF DAMAGE TO OR LOSS OF PROPERTY;
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS; both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERS;
3. I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual or unnecessary hazard during my presence or participation, I will bring such to the attention of the nearest by GESS, Inc. coach/member.
4. I, FOR MYSELF, AND ON BEHALF OF MY HEIRS, ASSIGNS, PERSONAL REPRESENTATIVES, and NEXT OF KIN, HEREBY RELEASE, HOLD HARMLESS, and PROMISE NOT TO SUE U.S.
SPEEDSKATING, THE INTERNATIONAL OLYMPIC COMMITTEE, THE UNITED STATES OLYMPIC COMMITTEE, THE INTERNATIONAL SKATING UNION, THE ASAI, GLEN ELLYN SPEED SKATING, Inc., Center Ice of Du Page, Arena Development Enterprises, LLC, Highland Athletics, LLC, OR OTHER SPONSORING ORGANIZATIONS, THEIR OFFICERS, VOLUNTEERS, STAFF, SPONSORS AND/OR AGENTS, (“RELEASEES”) WITH RESPECT TO ANY AND ALL INJURY AND LOSS ARISING FROM MY PARTICIPATION, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, EXCEPT THAT WHICH IS THE RESULT OF GROSS NEGLIGENCE OR WANTON MISCONDUCT.
I have read this Release of Liability and Waiver Agreement, fully understand its terms and sign it freely and voluntarily.
If participant is a minor signature should be that of the participant's legal guardian.
Cash or Check at first session
Do Not Fill This Out