Skate Canada Manitoba Crocus Invitational
Date: March 17, 2018
Host: Skate Brandon
Location: Souris Glenwood Memorial Complex
Registration Deadline: Thursday February 8, 2018 at 11:00 p.m. CST
Late Registration Deadline (additional $50 fee): Thursday February 15, 2018 at 11:00 p.m. CST
** Note: No registration entries will be accepted after the Late Registration Deadline.
** Note: Planned Program Sheets/Team Lists must be submitted on this registration form. Pictures of PPS and Team Lists will not be accept.
If you have any issues registering please contact Kendra Gilbert at email@example.com or 204-925-5707
Team Skate Canada Number
Team Manager Information
Team Manager Name
Team Manager Phone #
Team Manager Email
Primary Coach Information
Coach Skate Canada Number
Secondary Coach Information
If you do not have a Secondary Coach please put N/A in the fields below.
Secondary Coach Name
Synchronized Skating Championships Fees
1. Beginner I, II & Elementary - $155/team
2. Pre-Juvenile - Adult III - $235/team
3. Team Member: $20 per Skater
Adult SYS Class I
Adult SYS Class II
Adult SYS Class III
# of Team Members including alternates
# of Team Members
Synchro Team List
Please upload your completed Team List
2018 Planned Program Sheet!
Please upload your completed Planned Program Sheet
The undersigned understands, acknowledges, and agrees that Skate Canada and Skate Canada Manitoba shall not be liable for injury or loss occasioned by the athlete while traveling to or from or during the 2018 Skate Canada Manitoba Crocus Invitational event, nor shall Skate Canada and Skate Canada Manitoba be responsible for any damages or losses caused by the athlete during the same time. The undersigned athlete and/or athlete’s parent(s) / legal guardian agrees to indemnify Skate Canada and Skate Canada Manitoba and hold it harmless from any claims or demands in respect of such loss or damage.
I have read and agree with the Liability Waiver
Refunds will be given up to and including the registration deadline and will be subject to a $50 administrative and online processing fees. No Refunds will be given after the closing date of entries of the competition. NO medical refunds at any time after the close of entries (registration deadline)
I have read and agree with the Refund/Cancellation Policy
Photo/Video Publishing Waiver:
I hereby waive any and all claims that I /my son/my daughter/my ward, have or may have in the future. Grant the right to use, without payment of any fee, charge, or compensation of any kind, including royalties, any and all written information and/or any and all photographs, video tape, or other visual media of myself taken during the Event for non-commercial, promotional purposes including online results and promotion of Skate Canada Manitoba, and I also agree to waive any right to approve such use. I have read this release of liability and assumption of risk agreement, and fully understand its terms. I understand that I have given up substantial rights by signing it, and sign freely and voluntarily, without any inducement.
I have read and agree with the Photo/Video Publishing Waiver
Please make sure to review all the information you have submitted is correct
I have reviewed and confirm all the information i have submitted is correct
Name of Credit Card holder
Do Not Fill This Out