Training Archives - Roller Skate Detroit

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Payment Plan*

Weekly Payment Convenience Declaration*

I have read, understand and agree.

I understand the weekly payment option is a convenience. I am still required and agree to pay for all eight (8) weeks even if I attend all eight (8) training sessions, some or none. I agree to pay for the first two weeks of training today and once a week until my financial obligation is complete. I understand there is no refunds and this is non-transferrable.

Who are you...

Name*

First Last

Gender*

D.O.B.*

Phone*

Email*

Address*

Street Address Address Line 2 City State ZIP Code

Just In Case...

Emergency Contact Name*

First Last

Emergency Contact Phone*

Emergency Contact Relation

Payment

Early Bird Registration - One Time Payment

Price:

You have opted for a one time payment of $160.00. This option saves you $64.

Early Bird Registration - One Time Payment

Price:

You have opted for a one time payment of $80.00. This option saves you $32.

Early Bird Registration - Weekly Payment

Price:

You have opted for a weekly recurring payment of $24.00 for the next 7 weeks. The initial payment will be $48 to cover weeks one and two. This option saves you $32.

Waiver/Release of Liability*

I have read, understand and agree.

In consideration of being allowed to participate in any way in Roller Skate Detroit’s USKATE training, related events and activities, the undersigned acknowledges, appreciates, and agrees that:

The risks of injury and illness (ex: communicable diseases such as MRSA, influenza, and COVID-19) from the activities involved in this program are significant, including the potential for permanent paralysis and death, and while certain rules, equipment, and personal discipline may reduce these risks, the risks of serious injury and illness do exist; and,

I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest staff member immediately; and,

I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS ROLLER SKATE DETROIT their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Total

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Quantity

Credit Card

Card Details

Cardholder Name

By using this form, you agree to Roller Skate Detroit’s
Privacy Policy and Terms of Use

"*" indicates required fields

Payment Plan*

Weekly Payment Convenience Declaration*

I have read, understand and agree.

I understand the weekly payment option is a convenience. I am still required and agree to pay for all eight (8) weeks even if I attend all eight (8) training sessions, some or none. I agree to pay for the first two weeks of training today and once a week until my financial obligation is complete. I understand there is no refunds and this is non-transferrable.

Who are you...

Name*

First Last

Gender*

D.O.B.*

Phone*

Email*

Address*

Street Address Address Line 2 City State ZIP Code

Just In Case...

Emergency Contact Name*

First Last

Emergency Contact Phone*

Emergency Contact Relation

Payment

Early Bird Registration - One Time Payment

Price:

You have opted for a one time payment of $160.00. This option saves you $64.

Early Bird Registration - One Time Payment

Price:

You have opted for a one time payment of $80.00. This option saves you $32.

Early Bird Registration - Weekly Payment

Price:

You have opted for a weekly recurring payment of $24.00 for the next 7 weeks. The initial payment will be $48 to cover weeks one and two. This option saves you $32.

Waiver/Release of Liability*

I have read, understand and agree.

In consideration of being allowed to participate in any way in Roller Skate Detroit’s USKATE training, related events and activities, the undersigned acknowledges, appreciates, and agrees that:

The risks of injury and illness (ex: communicable diseases such as MRSA, influenza, and COVID-19) from the activities involved in this program are significant, including the potential for permanent paralysis and death, and while certain rules, equipment, and personal discipline may reduce these risks, the risks of serious injury and illness do exist; and,

I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest staff member immediately; and,

I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS ROLLER SKATE DETROIT their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Total

Hidden

Quantity

Credit Card

Card Details

Cardholder Name

By using this form, you agree to Roller Skate Detroit’s
Privacy Policy and Terms of Use

"*" indicates required fields

Payment Plan*

Weekly Payment Convenience Declaration*

I have read, understand and agree.

I understand the weekly payment option is a convenience. I am still required and agree to pay for all eight (8) weeks even if I attend all eight (8) training sessions, some or none. I agree to pay for the first two weeks of training today and once a week until my financial obligation is complete. I understand there is no refunds and this is non-transferrable

Who are you...

Name*

First Last

Gender*

D.O.B.*

Phone*

Email*

Address*

Street Address Address Line 2 City State ZIP Code

Just In Case...

Emergency Contact Name*

First Last

Emergency Contact Phone*

Emergency Contact Relation

Payment

Regular Registration - One Time Payment

Price:

You have opted for a one time payment of $224.00.

Regular Registration - One Time Payment

Price:

You have opted for a one time payment of $112.00.

Regular Registration - Weekly Payment

Price:

You have opted for a weekly recurring payment of $30.00 for the next 7 weeks. The initial payment will be $60 to cover weeks one and two.

Waiver/Release of Liability*

I have read, understand and agree.

In consideration of being allowed to participate in any way in Roller Skate Detroit’s USKATE training, related events and activities, the undersigned acknowledges, appreciates, and agrees that:

The risks of injury and illness (ex: communicable diseases such as MRSA, influenza, and COVID-19) from the activities involved in this program are significant, including the potential for permanent paralysis and death, and while certain rules, equipment, and personal discipline may reduce these risks, the risks of serious injury and illness do exist; and,

I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest staff member immediately; and,

I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS ROLLER SKATE DETROIT their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Total

Hidden

Quantity

Credit Card

Card Details

Cardholder Name

By using this form, you agree to Roller Skate Detroit’s
Privacy Policy and Terms of Use

"*" indicates required fields

Payment Plan*

Weekly Payment Convenience Declaration*

I have read, understand and agree.

I understand the weekly payment option is a convenience. I am still required and agree to pay for all eight (8) weeks even if I attend all eight (8) training sessions, some or none. I agree to pay for the first four weeks of training today and once a week until my financial obligation is complete. I understand there is no refunds and this is non-transferrable.

Who are you...

Name*

First Last

Gender*

D.O.B.*

Phone*

Email*

Address*

Street Address Address Line 2 City State ZIP Code

Just In Case...

Emergency Contact Name*

First Last

Emergency Contact Phone*

Emergency Contact Relation

Payment

Regular Registration - One Time Payment

Price:

You have opted for a one time payment of $200.00. This option saves you $24.

Regular Registration - One Time Payment

Price:

You have opted for a one time payment of $100.00. This option saves you $12.

Regular Registration - Weekly Payment

Price:

You have opted for a weekly recurring payment of $28.00 for the next 4 weeks. The initial payment will be $112 to cover weeks one and two. This option saves you $20.

Waiver/Release of Liability*

I have read, understand and agree.

In consideration of being allowed to participate in any way in Roller Skate Detroit’s USKATE training, related events and activities, the undersigned acknowledges, appreciates, and agrees that:

The risks of injury and illness (ex: communicable diseases such as MRSA, influenza, and COVID-19) from the activities involved in this program are significant, including the potential for permanent paralysis and death, and while certain rules, equipment, and personal discipline may reduce these risks, the risks of serious injury and illness do exist; and,

I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE OF THE RELEASEES or others, and assume full responsibility for my participation; and,

I willingly agree to comply with the stated and customary terms and conditions for participation. If, however, I observe any unusual significant hazard during my presence or participation, I will remove myself from participation and bring such to the attention of the nearest staff member immediately; and,

I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS ROLLER SKATE DETROIT their officers, officials, agents, and/or employees, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event (“RELEASEES”), WITH RESPECT TO ANY AND ALL INJURY, ILLNESS, DISABILITY, DEATH, or loss or damage to person or property, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

Total

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Quantity

PROMO CODE

Credit Card

Card Details

Cardholder Name

By using this form, you agree to Roller Skate Detroit’s
Privacy Policy and Terms of Use

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