Power Skating Skills School Registration Form

Please note: Some classes will fill up early. All applications are handled on a first come, first served basis. Please complete and submit this registration form to me as soon as possible.
I will phone or e-mail you, to arrange payment. If I receive your check within two weeks of that date your entry date will be the date that I received your completed registration form.
Thanks... Moni Johnson

Skater Name:		Age:
Parents Name:		Phone No.
Street Address:		Apt. #
City:		Postal Code:
		e-mail address:

Requests to Skate From: (check 1 box only)

First Hour 1:00 ^PM (5 to 8 Year Olds)

Second Hour 2:00 ^PM (9 and up, Adults inc)

Note that times for May 6th are changed to 9 am and 10 am ... see Classes page for details.

4 Week Spring Session ($160.⁰⁰) - Plus HST ($20.80)

See the Contact page for a (PDF) form that you can fill and mail, or print for a friend.

By submitting this form, I certify that I have read and agree to all information listed in the TERMS section of this website and I give my approval to my child's full participation at the Power Skating Skills School. I further agree to hold harmless the Power Skating Skills School, it's staff or the Arena, from any and all claims for injury or loss, however caused.