Marquette Figure Skating Club
First Year Membership
Full Club Membership
Club History & Information
Meet the Coaches
Learn to Skate USA
Annual Ice Show
Make a Payment
Learn to Skate
Note: You must be a current MFSC member in good standing to purchase ice.
Date of Birth
Date of Birth
Required unless new membership
U. S. Citizen
District of Columbia
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Cell or Home Phone
Please enter the # you can be reached at the most.
Additional Phone #
Home Figure Skating Club's Name
Required unless new member
WAIVER and RELEASE of LIABILITY
In consideration of participating in Marquette Figure Skating Club activities, I represent that I understand the nature of figure skating activities and that I am qualified, in good health and in proper physical condition to participate in such "activity"". I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue participation in the "activity". I fully understand that this "activity" involves risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my own actions, or inactions, those of others participating in the "activity", the conditions in which the "activity" takes place, or the negligence of the "releasees" named below, and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, costs and damages I incur as a result of my participation in the "activity". I hereby release, discharge, and covenant not to sue the Marquette Figure Skating Club, United States Figure Skating, it's directors, officers, administrators, sponsors, volunteers, agents, employees, staff, instructors, trainers, other participants and if applicable, owners and lessors of premises on which the activity takes place (each considered one of the "releasees" herein) from all liability, claims, demands, losses, or damages on mu account caused or alleged to be caused in whole or in part by the negligence of the "releasees" or otherwise, including negligent rescue operations; and I further agree that if, despite this release, waiver of liability, and assumption of risk, I, or anyone on my behalf, makes a claim against any of the releasees, I will indemnify, save, and hold harmless each of the releasees from any loss, liability, damage, or cost which any may incur as the result of such claim. I have read this RELEASE and WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, understand that I have given up substantial rights by checking this waiver box and have checked it freely and without any inducement or assurance of any nature and intend it to be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to in invalid, the balance, notwithstanding, shall continue in full force and effect.
Waiver and Release of Liability
PARENTAL CONSENT and INDEMNIFICATION AGREEMENT
I, the minor's parent and/or legal guardian, understand the nature of the above referenced activities and the minor's experience and capabilities and believe the minor to be qualified to participate in such "activity". I hereby release, discharge, covenant not to sue and AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS each of the Releasees from all liability, claims, demands, losses, or damages on the 's account caused or alleged to have been caused in whole or in part by the negligence of the Releasees or otherwise, including negligent rescue operations, and further agree that if, despite this release, I, the minor, or anyone on the minor's behalf makes a claim against any of the above Releasees, I WILL INDEMNIFY, SAVE AND HOLD HARAMLESS each of the releasees from any litigation expenses, attorney fees, loss liability, damage, or cost any Releasees may incur as the result of any such claim. I understand that Refunds will not be given for any reason. MEMBERSHIP AND FUNDRAISING FEES ARE NON-REFUNDABLE.
Parental Consent and Indemnification Agreement
CONSENT for MEDICAL ATTENTION or TREATMENT
I certify that I, the member, or I, the parent/guardian of said participant, give my consent to the Marquette Figure Skating Club and the facility the activities are taking place in and their staff and to members of the MFSC, their Board of Directors, coaching staff and volunteers to obtain medical care from any licensed physician, hospital or clinic, including transportation and emergency medical services, for myself/ourselves and/or said participant for any injury that could arise from participation in these activities for the skaters listed in this registration form.
Consent for Medical Attention or Treatment
MANDATORY MEMBERSHIP / FUNDRAISING REGISTRATION
First Family Membership $120
Additional Family Member $69
1st Year Family Membership $65
1st Year Additional Family Membership $54
2nd Club Membership $65
Collegiate Membership (4 year Pkg) $200
Parent Membership (when child is 1st full member) $35
Board of Directors/Committee Chair $00
MANDATORY ANNUAL FUND RAISER FEE (consumer cash cards)
Fundraiser is one per/family, 2nd family members do not have to purchase. You will receive 12 cards, sell for $10 each.
Fundraiser Fee - 12 Consumer Cash Cards $100
Submit Check made payable to MFSC and mail to: MFSC/Johnson 48 Longyear Dr Negaunee, MI 49866
Pay Online (+2.9% convenience fee)
Submitting Check (Must be received within 5 business days)
ONCE YOU SUBMIT THE FORM, PLEASE GIVE IT TIME TO FULLY SEND. IF YOU CLICK IT AGAIN BEFORE IT'S DONE AND YOU ARE PAYING ONLINE, YOUR CARD MAY BE CHARGED MULTIPLE TIMES.
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Marquette Figure Skating Club
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