Oswego Figure Skating Club Ice Package Purchase Form Skater Name: Address: Phone: E-mail: USFSA #: Block 2

Each skater MUST purchase one session per week within the block in order to receive the block rate. There are 62 sessions over 8 weeks available in Block 2. Purchased sessions can be used anytime during the block they were purchased. There will be no carryover from this block to the next block. ICE PACKAGE PURCHASES MUST BE COMPLETED (INCLUDING PAYMENT IN FULL) WITHIN THE FIRST WEEK OF THE BLOCK OR THE WALK ON FEE of $18/session WILL BE ASSESSED FOR ALL SESSIONS. Unpaid Balances must be paid within two weeks of the close of the block or the skater will NOT be allowed to use club ice! Mondays 6:00-7:00 pm 7:00-8:00 pm Block 2: October 1 November 23, 2012 Wednesdays Fridays 6:00-7:00 pm 6:00-7:00 pm 7:00-8:00 pm 7:00-8:00 pm HOME CLUB/ASSOCIAT E Number of Sessions X Price per Session Sub Total Multi-Skater Family Discount on total package for subsequent family members 10% + Unpaid Balance Current Block TOTAL DUE to OFSC Amount Paid Date Cash Money Order Check # $13.00 $15.00 NON-HOME CLUB Sundays 3:30-4:30

PAYMENT MUST BE MADE AT THE TIME OF SUBMISSION OF THIS ICE PACKAGE FORM.

For Club Use ONLY Sessions Used

Block 2 Total Available Sessions

Sessions Used

Remaining/(Owed) Sessions

Balance due to OFSC

X $