All skaters or, for skaters under 18 years old, their parents/legal guardians, are required to submit the following form within 24 hours of their lesson appointment until further notice
 
This form is required for each lesson appointment.
 
Failure to submit the form 2 hours before your lesson appointment will result in your lesson being canceled.

Every skater is required to have a U.S. Figure Skating or Learn to Skate USA membership that is current and you must enter your membership number below. Membership ensures that you have sports accident insurance coverage. Please note that all previous memberships expired on June 30. For information on renewing or obtaining a new membership, please click here.

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* 1. I acknowledge and understand the following:
  • COVID-19 is an extremely contagious disease that can lead to severe illness and death. According to the Centers for Disease Control and Prevention, senior citizens and guests with underlying medical conditions are especially vulnerable.
  • An inherent risk of exposure to COVID-19 exists in any public place where people are present.
  • Due to the indoor environment, varying ventilation systems, colder temperature, humidity levels, and proximity to other people, I understand that ice rinks may be a high-risk environment.
  • I understand that Gov. Phil Murphy warned on Monday, July 6 that the rate of transmission is increasing in New Jersey.
  • Neither the rinks nor your coach are able to guarantee that you will not be exposed during your visit. You should evaluate your risk in determining whether to skate and take lessons.
  • I agree with all lesson policies and understand that this is a fluid, unprecedented situation. Thus, policies may change often as new information becomes available and rinks update their policies.
  • I voluntarily assume all risks related to exposure to COVID-19 and the coach and the rinks disclaim any and all liability related thereto.
I understand that entering my name on this form will constitute my agreement and act as my legal binding signature.

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* 2. I certify that the skater and no member of our household have experienced any of the following symptoms at any time within the last 14 days.

You are required to check each box to acknowledge and verify that no member of household is experiencing any of the following:

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* 3. I certify that the skater and no member of my household has visited any COVID-19 hotspot within the past 14-days, including but not limited to:
  • Any international travel.
  • Alabama
  • Arkansas
  • Arizona
  • California
  • Florida
  • Georgia
  • Hawaii
  • Iowa
  • Idaho
  • Illinois
  • Indiana
  • Kansas
  • Kentucky
  • Louisiana
  • Maryland
  • Missouri
  • Mississippi
  • Minnesota
  • Montana
  • North Carolina
  • North Dakota
  • Nebraska
  • Nevada
  • Oklahoma
  • Puerto Rico
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Virgin Islands
  • Virginia
  • Wisconsin
Please be sure to review this list thoroughly, before signing below.

I further verify that the skater and no one in my household has traveled by commercial airline, bus, or train within the past 14 days.


Type Your Full Name Here (If skater is under 18 years old, parent is required to acknowledge and agree on their behalf):

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* 4. The rink may conduct a health screening prior to entry, including a temperature check.

The current body temperature of the skater is:

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* 5. As of:

Date
Time

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* 6. I agree that I and my skater will wear an acceptable face covering (mask) properly and socially distance from others, including the coach, by at least 6 feet at all times.

All acceptable face coverings (whether disposable or reusable) must:
  • Be made with at least two layers of breathable material.
  • Fully cover the nose and mouth and secure under the chin.
  • Fit snugly but comfortably against the side of the face.
  • Be secured with ties or ear loops and allow the skater to remain hands-free and not having to adjust the covering at any time.
At this time, based on guidance from health authorities, neck gaiters, open-chin triangle bandanas, and face coverings containing valves, mesh material or holes of any kind are not acceptable face coverings.

Medical masks, such as N95 or KN95, are not appropriate for athletic activity and should be reserved for health care workers.

You should supply your own acceptable face covering and also bring a back-up with you.


The use of face coverings is not a substitute for physical distancing.

Type Your Full Name Here (If skater is under 18 years old, parent is required to acknowledge and agree on their behalf):

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* 7. The skater and no one in my household has been in contact with someone with confirmed or suspected COVID-19 symptoms without completing a 14-day quarantine.

Type Your Full Name Here (If skater is under 18 years old, parent is required to acknowledge and agree on their behalf):

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* 8. The skater and no one in my household have been diagnosed with COVID-19, within the past 21 days.

The skater and no one in my household have been contacted by a contact tracer and/or health official, due to potential diagnosis or exposure with the past 14 days.

The skater and no one in my household have been asked to self-quarantine, for any reason, within the past 14 days.

Type Your Full Name Here (If skater is under 18 years old, parent is required to acknowledge and agree on their behalf):

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* 9. I understand that properly fitted equipment in good condition can help prevent injury and that my skater may have grown since the last time they skated.

I agree with the following:
  • The skater has tried on their skates at home.
  • I have checked the fit by removing the insole and making sure that the skater's feet are in the acceptable range for the size, as demonstrated in the photo below:

  • I have changed the laces in the boots.
  • There are not any loose screws and the blade does not wobble or move.
  • The blade is free of rust and has been professionally sharpened.
  • My skater hows how to tie their own skates properly.
  • If I had any doubts about sizing, fit, or condition, I have taken them to a reputable skate tech for inspection. The size and condition have been deemed satisfactory by a professional, reputable skate tech. 
  • I understand that my coach requires skaters to warm-up off-ice before entering the rink.
  • I understand that it is recommended that skaters put their skates on outside, before entering the rink and wear appropriate hard guards (Rockerz are recommended) to walk into the rink.
  • I understand that due to social distancing requirements, the coach is unable to check the skates or help skaters adjust or tie them.
  • I understand that most rink policies do not permit spectators and parents may be required to pay online ahead of the session, there will not be any refunds for cancellations or reschedules, and parents may not be permitted inside the rink.
Type Your Full Name Here (If skater is under 18 years old, parent is required to acknowledge and agree on their behalf):

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* 10. I agree to abide by all policies and directions required by the local, state, the federal government, as well as those from the rink facility and coach.

I further agree that I have discussed the policies with my skater and he or she understands and will follow them:

Type the Skater's Name + Your Full Name Here (If skater is under 18 years old, parent is required to acknowledge and agree on their behalf):

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