Your registration with the MIT Figure Skating Club permits you to teach Club members during appropriate Club sessions. Please review our ice schedule and usage rules, including program music privileges, on our web site. By the terms of our agreement with MIT, you may not teach non-Club members at the MIT rink, nor may you bring in guests to skate. Bring this form and attachments to the rink for your first session. If you have any questions, contact the Club officers at .
Name:	______________________________________________
Address:	______________________________________________
	______________________________________________
Daytime Phone #:	______________________________________________
Evening Phone #:	______________________________________________
Email address:	______________________________________________
U.S. Figure Skating #:	______________________________________________
PSA member?	___Yes   ___No
Tax ID #:	______________________________________________
Access needed:	___Tue   ___Thu    ___Fri    ___Sat   ___Sun
Teaching interests:	___FS   ___MITF   ___Dance    ___Pairs   ___Patch
Make contact info available to students? ___Yes   ___No
Post contact info (name & email) on web? ___Yes   ___No
Join the mailing list? ___Yes   ___No
______________________________________________________________________________________________________________
___ I have signed the attached MIT waiver form ___ I have attached my resume ___ I have attached proof of liability insurance ___ I agree that during Club sessions I will only teach Club members ___ I agree to abide by the MITFSC ice usage and music rules ___ I agree that I will not accept personal payments for coaching        done at MIT and will be paid for coaching at MIT        only through the MIT Figure Skating Club.   Signature: ______________________________________________