Registration Form 2019

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Registration Form 2019

June 21-23, 2019 | Aspen, CO

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* Indicates required question

First Name: *

Your answer

Last Name: *

Your answer

Mailing Address: *

Your answer

Phone Number: *

Your answer

Email: *

Your answer

Emergency Contact: *

Your answer

Skating Level: *

Your answer

Are you interested in private lessons? *

ALL LESSONS WILL BE BILLED BY THE WORKSHOP AT $60 PER HALF-HOUR

Yes

No

Maybe

If yes, choose your preferred coach/coaches:

SELECT ALL THAT APPLY

JoJo Starbuck

Paul Wylie

Carol Fox

Teri Klindworth Hooper

Would you like to make a $20 donation to offset the cost of the Workshop Dinner? *

Yes

No

Tell us what you would like to focus on, learn and/or experience at the Workshop:

Your answer

Submit

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