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:

Health Card Number:

e-mail address:

Requests to Skate From: (check 1 box only)

 First Hour 6:00 PM (5 to 8 Year Olds)

Second Hour 7:00 PM (9 Years to adult)

4 Week Summer Session ($165.00) see classes for dates
 
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.

      

For PDF form see contact page


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