Please Insert Club Name

(For Office Reference)


2016-2017 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 2016-2017 Club Executive List.
All Skate Canada clubs and Skating Schools are responsible for keeping their complete coaching list up to date on the Skate Canada website under Members Only. Coaches lists can and must be updated throughout the year as changes are made.

Submitting a separate Coach list through Skate Canada - Central Ontario is no longer necessary. COS will be monitoring to ensure all COS clubs have completed their 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 (Club Executive Members Only)

A. NAME & POSITION:
ADDRESS  
CITY/TOWN 

ONTARIO POSTAL CODE:

AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

B. NAME & POSITION:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:


C. NAME & POSITION:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:


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

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

F. NAME & POSITION:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

G. NAME & POSITION:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

H. NAME & POSITION:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:


I. NAME & POSITION :
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:


J. NAME & POSITION:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

K. NAME & POSITION:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

L. NAME & POSITION :
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

M. NAME & POSITION :
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

N. NAME & POSITION:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

O. NAME & POSITION:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

P. NAME & POSITION:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

Q. NAME & POSITION:
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

R. NAME& POSITION :
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS:

S. NAME& POSITION :
AREA CODE & TELEPHONE:: HOME:
AREA CODE & TELEPHONE: BUS:
EMAIL: HOME:
EMAIL BUS: