Name: ____________________________ Sex: M / F Address:___________________________ Age Group: <20 circle one 21-30 ___________________________ 31-40 >40 ___________________________ Phone: _________________ Fax: ____________________ e-mail: _________________ Do you actively race? Yes / No If yes, number of years racing ______________ Do you skate primarily indoors or outdoors? ___________________________________ Club Affiliation (if any): ____________________________________________________ Best 10 k time: <17 minutes ______ Would you classify yourself as: 17-18 minutes ______ 18-19 minutes ______ Experienced or Elite 19-20 minutes ______ (circle one) >20 minutes ______
Where did you hear of this seminar: __________________________________
Have you ever attended other in-line clinics/seminars? Y / N
If yes, where? by who? _____________________________________________
Have you arranged your own accommodation and transportation while in Toronto? Y / N
If no, would you like to try and "billet" with a local skater? Y / N
For out of town skaters... will you need help re: transportation, directions, etc. while in Toronto? Y / N
The registration fee is only $80 Canadian funds. CIRSA members are eligible for a 10 % discount. Also, Hyper Wheels and SKF Bearings will be available at AMAZING! prices!
Mail completed registration form to:
#117-679 Queen's Quay West
Toronto, Ontario, Canada
For more info, please contact CIRSA.