January 2020 Learn to Skate Registration

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This form is for folks that are registering for ACR's 12 week Learn to Skate program starting January 19, 2020. Sessions will be every Sunday from 2:30PM-4:30PM. The cost for the program is $250. Payment can be made by e-transfer to acrc.exec.treasurer@gmail.com just put your name and "L2S Registration" in the message and make the password: rollerderby
ALL SKATERS MUST GET THEIR OWN MOUTHGUARD and PURCHASE CRDi Insurance.

Name *

Email *

Phone Number *

Any Medical Issues we should know about?

Do you need lender gear for the first two weeks? *

Yes

If yes, what is your skate size?

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