Children's Skating Program: Warwick
Please read the requirement section after filling out this form.
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Which session will you be attending? *
Name (First) *
Name (Last) *
Address *
Email *
Phone Number *
Age of Child *
Date of Birth *
MM
/
DD
/
YYYY
What level skater is your child? *
Has your child passed any badges? *
If yes, which badges?
Session #1 Information
Session #1
Start Date: October 17
End Date: December 19
Time: 5-6
Payment: $120
Session #2 Information
Session #2
Start Date: January 9
End Date: March 12
Time: 5-6
Payment: $150
Session #3 Information
Session #3
Start Date: March 19
End Date: May 14
Time: 5-6
Payment: $135
Payment
Discounted price when purchasing all 3 sessions-$370
Method of Payment *
The undersigned acknowledges that each applicant is physically capable to participate in this program; and that the risk of injury exists but such risk is hereby accepted and that the responsibility of medical insurance coverage is upon the applicant. (By typing your name you are signing to the above information) *
How did you hear about us! *
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