UNH Synchronized Skating Recruitment Spring 2018

Saturday, March 3rd

Calling all juniors and seniors in high school! Join the UNH Synchro team for a chance to see what it’s like to be a Wildcat for the day! You will have the chance to get to know the team through fun activities, an on ice practice, and a tour of our beautiful campus. The day is full of opportunities to explore campus and really see what skating at UNH is about! We look forward to hosting you and giving you insight into both the Skating program and the school here at UNH!

 

**Please fill out the form below if interested in participating and have a parent/guardian fill out the other form if you are a minor!**

 

First Name of Participant
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Last Name of Participant
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Street Address
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City
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State
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Zip Code
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E-mail Address
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Phone Number
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Emergency Contact
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Emergency Contact Phone
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Interested Course of Study
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High School Graduation (year)
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T-shirt Size
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Skating Experience

Do you have any experience skating with a synchronized skating team?
Name of Team:
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Level of Team:
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Highest MIF passed:
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Highest Freestyle Passed:
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Highest Dance Passed:

Medical/Health Information

Does the participant(s) have any dietary restrictions that we should be aware of?

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If yes, please explain:

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Does the participant(s) have any health/medical conditions?
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If yes, please explain:
Does the participant(s) have any allergies?
(required)
If yes, please explain:
Will the participant bring an Epi-pen and/or Asthma Inhaler to the program?
(required)
If yes, please explain:
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Epi Pen/ Inhaler Form

UNH policy requires the signed form to be on file prior to the start of the event.  Please submit the completed form to UNH Campus Rec at:

5 Edgewood Rd.

UNH - Hamel Rec. Center

Durham NH 03801

DO NOT submit completed form to the Synchro Team.  If you have any questions, please contact Brian at (603) 862 - 2038 or blr4@unh.edu

We require that the following forms be reviewed by a parent/guardian prior to a minor's participation in a UNH youth program. Click on the name of each waiver to open the form in a new browser. Please review each waiver and attest that as the parent/guardian, you have read and agree to the terms and conditions of each.

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The University of New Hampshire seeks to create a welcoming and inclusive youth program experience for all participants. Reasonable accommodation, consistent with the requirements of the Americans with Disabilities Act as amended, Section 504 and applicable state law, may be requested to support participation of individuals with disabilities in youth camps and other youth activities. If an accommodation is needed for any reason, please contact Cathy Leach, Summer Youth Programs, 603-862-3266 (phone); TTY Users: 7-1-1 (Relay NH); or cathy.leach@unh.edu. Accommodation request determinations are made on a case by case basis.

Accommodation requests should be made at the time of registration, or as soon as possible thereafter to allow sufficient time for consideration and implementation. We require that the following forms be reviewed by a parent/guardian prior to a minor's participation in a UNH youth program. Click on the name of each waiver to open the form in a new browser. Please review each waiver and attest that as the parent/guardian, you have read and agree to the terms and conditions of each.

Parent or Guardian: Please type your name into the box. By doing so, you are certifying that you are the parent or legal guardian of the minor participating in the UNH youth program, and you understand and are in agreement with the waivers as marked above.

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Health Insurance Provider
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Policy Number
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Payment Options

Pay Online

Pay online using Visa, Mastercard, or E-check. If you choose to only pay the deposit now you will receive an email with instructions on paying the balance in full at a later date.