SKATETIME SHOE CHART COVER PAGE

SKATETIME SHOE CHART COVER PAGE
phone: 815.708.7201
toll free: 800.557.5283
SCHOOL NAME:
Fax: 815.977.5882
STATE:
TEACHER NAME:
PHONE:
START DATE:
TIME:
APPROX # OF STUDENTS:
# OF PAGES INCLUDING COVER
PLEASE INDICATE SKATE TYPE:
Do you have combined classes or classes that skate at the same time?
INLINE
QUAD
YES
or
NO
If yes, then please mark them clearly so we know which classes skate together or skate at the same time.
Safety Equipment:
We provide Wrist Guards as part of our skate package. We will determine what sizes to send based on
your shoe charts. If you have a certain amount in mind please feel free to send us that request.
Additional Equipment is available upon request. Please contact us for availability and price.
that we have received your shoe charts.
email/phone
Additional comments or requests:
SHOE CHART INSTRUCTIONS
A shoe chart is basically a class list with the students skate sizes next to their name. From these lists we can calculate what skates we
need to send to your school. You Do Not Have to Add Anything Up. We will do all the calculations. All we need from you is the class
lists. Please follow these instructions:
Option 1 : Download our "Skatetime Shoe Chart" from our website (www.skatetime.com) and list all students' names and skate
sizes. It is best to have students slip off their shoe at roll call time and identify the size marked on the shoe that they have on.
Option 2 : (Recommended for your convenience) Make copies of your own class rosters. If the roster has shaded lines be sure to lighten
the copy, copies of shaded lines do not fax clearly. Then put the student’s skate size next to their name.
Choose Option 1 or 2 then ll in sizes for each student.
» Adjust women sizes down by 1 size (i.e. a girl wears a size 6 shoe put her down for a skate size 5, a girl wears a 6.5 shoe put her
down for a skate size 6). Men sizes do not need adjusting unless their shoe size is a half size then round up (i.e. a boy wears a 9.5
shoe put him down for a skate size 10).
» Juvenile sizes do not need adjusting.
» Indicate “Juvenile” sizes (J10, J11, J12, and J13).
» Whole sizes only.
» Include sta sizes.
Other considerations:
» If classes are combined or skate at the same time we will need to know which ones.
» Will you use wrist guards, if so will they be optional or mandatory?
» Additional equipment is available upon request. Please contact us for availability and price.
Before you fax the shoe chart to us please ll out the
SKATETIME SHOE CHART COVER SHEET
We need to receive this information
to your skating unit.
Thank you!
3 WEEKS PRIOR
completely.
SHOE CHART
PLEASE FAX COMPLETED SHOE CHARTS
3 WEEKS PRIOR TO START DATE
» Make blank copies of this form
Skatetime Northern IL
» Complete one chart for each class indicating grade & start time
Fax completed
shoe charts to
815.977.5882
» Indicate number of charts per class I.E. 1 of 2, 2 of 2
» Use whole sizes only - Boys same size/Girls down one size
» Boys half sizes round up/Girls half sizes round down
» Quad sizes available Juvenile J8-2 velcro; Adult sizes 3-16
Problems? Call 800.557.5283
» Inline sizes available 1-16 (ROCES 4-15 Only)
» School Name_________________________________________________
» Teacher Name _____________________ Start Date __________________
» This is Class Period ______________ This is Chart _______ of __________
» This Class Start Time ___________________ This is Grade _____________
Paid
Student Name
Size
Paid
Student Name
Size
Sta Name
Size
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Sta Sizes This Period
Free
Sta Name
Size
Free
1
2
PERMISSION SLIP
Dear Parent or Guardian:
Beginning on __________________________, our Physical Education classes will be participating in an
in-house skating program. The skates will be delivered directly to the school. Due to insurance purposes,
we will be exclusively using Skatetime School Programs ® skates.
This skating unit is being implemented because of its emphasis as a “Lifetime Activity”. Skating provides a
variety of benefits, which include balance, coordination, motor skills, and a top rated cardio-respiratory workout.
Students will also learn basic skating skills such as starting, stopping, forward skating, backward skating,
cornering, and a number of safety tips for being a smart skater.
The fee for this unit will be $ _________ for quad skates and $ __________ for inline skates per student.
The fee includes delivery and pickup of the equipment as well as use of the skates for _________ days of skating
during normal P.E. Class.
Please h a v e y o u r c h i l d r e t u r n t h e b o t t o m p o r t i o n of t h i s p e r m i s s i o n s l i p w i t h t h e f e e n o l a t e r
than __________________.
In consideration of the permission granted I hereby grant permission for the person named herein to participate
in the program described and associated activities provided by Skatetime School Programs® and
_________________________________________(School Name). I further release Skatetime School
Programs ® , _____________________________________(School Name) and the school District
#
Its agents, employees, and volunteers from all actions, damages, claims, or demands and
all liability, which might be incurred during the conduct of this activity.
I further authorize the School officials to take the proper steps to provide medical attention should participant
be injured while participating or being transferred to or from any School sponsored activity and I hold said
officials
(School Name) and the school District #
harmless thereof.
I acknowledge the risk and responsibilities involved in this activity. I have read this release and understand
all its term and execute it voluntarily and with full knowledge of its significance.
Activity: Skatetime School Programs® (in –house skating program)
Name of Student:
Please make checks payable to
Shoe Size:
( M / F )
(School Name)
Signature of Participant
Signature of Parent/Guardian
If participant is under 18 as of date of activity.
If you would like to sponsor a child needing assistance with the rental fee, please fill in the spaces below and
enclose that amount with your child’s fee.
No. Of additional Students
x$
.
=$
.
©2016 Skatetime Inc ® All rights reserved
PERMISO
Estimados Padres o Guardianes:
Empezando el ___________________ nuestra clase de Educacion Fisica participara en un programa de patinaje.
Los patines que se usaran son de la empresa Skatetime School Programs. ® Por propositos de aseguranza
usaremos exclusivamente patines de esta empresa.
Esta unidad de patinaje sera implementada por su enfasis en una “Actividad para toda la Vida.” El patinaje
proporciona una variedad de beneficios. Estos incluyen balance, coordinacion, destrezas motrices y un ejercicio
cardio respiratorio altamente calificado. Los estudiantes tambien aprenderan destrezas basicas de patinaje como el
arranque, el detenerse, patinar hacia adelante y hacia atras, cruzar los pies y consejos de seguridad de como ser
una patinador habil.
La cuota para esta unidad sera por estudiante. Por patines de cuatro ruedas la cantidad de $________, y por
patines de ruedas alineadas $_________. La cuota incluye la entrega y recoleccion del equipo asi como tambien el
uso de los patines por _______ dias durante la clase regular de Educacion Fisica.
Por favor regrese la parte de abajo de este permiso y mande la cuota a mas tardar el __________________ con
su nino.
En consideracion del permiso otorgado, doy mi consentimiento a la persona nombrada en el mismo, para participar en
el programa descrito y para las actividades involucradas y patrocinadas al compania de Skatetime School Programs® ,
por las Escuelas Publicas del Condado de
(COUNTY PUBLIC SCHOOLS). Por lo anterior, yo
absolvo de responsabilidades al Condado de
(COUNTY NAME), y a las Escuelas Publicas
del Condado de ________________________ (COUNTY PUBLIC SCHOOLS), a sus representantes, empleados y
voluntaries de toda accion, danos, denuncia, demandas o toda toda responsabilidad, la cual pueda ocurrir durante el
desempeno de esta actividad.
Por lo anterior autorizo a los encargados escolares para tomar las medidas o atenciones medicas necesarias en caso que
el participante sea lesionado mientras participe o sea transladado de la Escuela o participe en cualquier otra actividad
patrocinada por la misma y, no pondre cargo o culpa alguna a los encargados escolares y a las Escuelas Publicas del
Condado de
(COUNTY PUBLIC SCHOOLS).
Yo estoy consciente de los riesgos y responsabilidades que implican esta actividad. He leido este documento y entiendo
todos sus terminos y lo llevo a cabo voluntariamente y con conocimiento pleno de su contenido.
(Firma del Padre/ Parent Signature.)
Actividad: Skatetime School Program® (Programa Escolar), ________________________ (FECHA/DATES)
Nombre del Estudiante que participa:
(STUDENT PARTICIPATING)
El tamano de zapato de mi nino es
Circule uno. (Nino) (Nina)
Si usted desea proveer una beca para un alumno(a)quien necesita ayuda en pagar el costo de equipo para patinar, favor de
llenar los espacios en blanco y devuelve el dinero al maestra(o) en un sobre con el dinero de su hijo(a). Gracias
Anote el # de becas adicionales que desea mandar
Favor de hacer el cheque a nombre de la escuela
©2016 Skatetime Inc ® All rights reserved
x$
.
=$
.
(Donacion total)
.