Club Form (see below)
GMSA Form (see below)
US Speedskating Forms (see below)
(copy and paste info below into a word doc)
DULUTH AREA SPEEDSKATING CLUB
2010 / 2011 SEASON
M / F Age______
Birth date_______________ Novice / Advanced
Insurance Co___________________________Principal Insured________________
Policy: DISRUPTIVE OR INAPPROPRIATE BEHAVIOR IS PROHIBITED
will have latitude in assigning disciplinary penalties for behavior considered disruptive or inappropriate. Repeat offenses may result in suspension from the activities. The
duration of the suspension will be determined by the seriousness of the offense. Fees
are not refundable.
Waiver: All participants in the Duluth Area Speedskating Club’s program are exposed to the possibility of physical
injury due to the recreational, athletic, and/or competitive nature of these activities.
Each participant accepts this risk and responsibility as their own by choosing to participate in these activities. By so participating, each participant waives and releases any and all rights and claims
for damages that the participant or his or her heirs or successors may have against Duluth Area Speedskating Club or its personnel,
coaches, directors, USS, GMSA, ASU, UMD, City of Duluth arising out of or resulting from the participants voluntary participation
in the club sport program. I understand that long sleeves, gloves, helmets,
long pants are required on the ice at all times.
I have read the above waiver and certify my compliance with my signature.
/ Guardian Signature__________________________________________________Date__________
November 7th Club Dues $99 / Skater ($250 / family cap)
covers all indoor ice time at UMD Nov-Dec 9:00-10:00am,
outdoor ice at Chester Bowl, and coaching.
make checks to: Duluth Area Speedskating Club
Mail to: 35
Duluth, MN 55811
Questions? Call Paula Rannikko 728-6123