Sign-Up Form
Please fill out this form to sign up for the Figure Skating Clinic hosted by the Binghamton Figure Skating Club and coaches Jeff & Stacy Petri.  The clinic is on Tuesday, April 12, 2022 at 9:00am at the Visions Veterans Memorial Arena in Binghamton, NY.  

Once you have submitted your form, please submit payment via check made out to Binghamton Figure Skating Club.  Mailing address is:
Binghamton Figure Skating Club
1250 Front St. PMB 201
Binghamton, NY 13901

Club Members - $85 Full Day      Non-Club Members - $95 Full Day      Learn to Skate/Rising Stars - $60 Partial Day

Home club members may submit payment in person to Karen or Debi.
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Email *
Skater Name *
Skater's Age *
Skater's Skating Level *
What is the skater's home club? *
Club Skaters Only (Rising Stars and LTS please skip this question)- Please list your Freestyle and Moves test levels.
Who is your primary coach? (Please skip this if you do not yet have a private coach.)
Parent Name (if skater is a minor)
Parent Phone if skater is a minor, Skater phone if adult *
We often share exciting club news to our Facebook page and update the images on our website.  Please let us know if we can post images that include you skating in our clinic.  Your name would not be included with the images and we always make sure you look your best.  Thank you! *
I understand that registration is not complete until payment has been made to Binghamton Figure Skating Club. *
Required
A copy of your responses will be emailed to the address you provided.
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