Please Insert Club Name

(For Office Reference)


2008-2009 CLUB EXECUTIVE LIST

PLEASE COMPLETE & SUBMIT (E-MAIL/FORWARD) TO:
Skate Canada - Central Ontario
111 Snidercroft Road, Unit A, Concord, ON., L4K 2J8
(SUBMIT button is at the bottom of this form)

All Clubs must submit a 2008-2009 Club Executive List and Club Coaches List


Please use the cursor or tab key to select the desired text box(s) in this form.
The "enter/return" key (by default) will automatically submit the form.

NAME OF CLUB:
CLUB NUMBER:
ADDRESS  
CITY/TOWN 
ONTARIO POSTAL CODE:
CLUB AREA CODE & TELEPHONE:
CLUB AREA CODE & FAX:
CLUB EMAIL:
ARENA NAME (A): AREA CODE & TELEPHONE:
SECONDARY ARENA (B): AREA CODE & TELEPHONE:
SIZE OF ICE SURFACES (S): (A) (B)
CLUB/OFFICE ADMINISTRATOR (PAID POSITION) NAME:
AREA CODE & TELEPHONE::
FAX:
EMAIL:

Approximate number of registered members in your club?
Does your club have a competitive Synchronized Skating Team? YES NO
Does your club have a festival Synchronized Skating Team? YES NO
Does your club have a recreational Synchronized Skating Team? YES NO

Does your club offer the following Skate Canada Programs?
CANSKATE: YES NO CANPOWERSKATE: YES NO CANSYNCHROSKATE:YES NO

Does your club offer a Special Needs Program? YES NO Does your club offer an Adult Session? YES NO

BOARD OF DIRECTORS/EXECUTIVE POSITIONS

A. PRESIDENT'S NAME:
ADDRESS  
CITY/TOWN 
ONTARIO POSTAL CODE:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

B. VICE PRESIDENT NAME:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:


C. PAST PRESIDENT NAME:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:


D. SECRETARY NAME:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

E. TREASURER NAME:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

F. TEST CHAIRMAN NAME:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

G. CANSKATE COORDINATOR NAME:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

H. SKATER DEVELOPMENT CHAIRMAN NAME:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:


I. MEMBERSHIP CHAIRMAN NAME:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:


J. COMPETITION CHAIRMAN NAME:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

K. CLUB COACH LIAISON NAME:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

L. COACHING REPRESENTATIVE TO THE BOARD NAME:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

M. SYNCHRONIZED SKATING CHAIRMAN NAME:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

N. ADDITIONAL MEMBER NAMES:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

O. ADDITIONAL MEMBER NAMES:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

P. ADDITIONAL MEMBER NAMES:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

Q. ADDITIONAL MEMBER NAMES:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

R. ADDITIONAL MEMBER NAMES:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

S. ADDITIONAL MEMBER NAMES:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:




Please Click Here to Complete & Submit the 2008-2009 Coaches List Form.