RecPlex Learn to Skate Add Form

RecPlex Learn to Skate Add Form
Please complete and submit this form if you are looking to ADD a class to your skater's current schedule or if you are returning to classes after taking a break.

Please keep in mind that we DO NOT PRORATE class fees. Add Forms must be submitted by or before the 7th of the month. If submitting the form after the 7th of the month you can start attending your additional class the 1st of the following month.
Parent/Guardian Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Skater/Participant Name*

First NameLast Name
Name of Class(es) You Would Like to ADD*
Day/Time of Class(es) You Would Like to Add*
Date You Would Like to Begin Attending ADDED Class(es)*

MonthDayYear
Date
By signing this agreement I am giving the RecPlex/Village of Pleasant Prairie permission to bill the current billing information on file for all classes I am adding per this form. I understand that if I need to update my billing information on file for the added classes I will submit a new payment authorization form.
Signature*

Clear
Name*

First NameLast Name
Date*

MonthDayYear
Date
Should be Empty: