Turner's Skate Palace
Learn To Skate Program Registration Form
Skaters Full Name
*
Date of Birth
*
/
Month
/
Day
Year
Date
Age
*
Gender
Female
Male
Address
*
Phone Number
*
Email
*
example@example.com
Parent/Guardian Names
*
Program Sessions (Select all that apply):
*
Session 1: January 7th - February 11th, 2025
Session 2: February 25th - April 1st, 2025
Session 3: April 22nd - May 27th, 2025
Payment Amount (Session 1)
*
Please Select
0
60/cash
65/CC
Payment Amount (Session 2)
*
Please Select
0
60/cash
65/CC
Payment Amount (Session 3)
*
Please Select
0
60/cash
65/CC
Total Amount Due:
*
Please Select
60 (session 1 cash only)
65 (session 1 CC only)
120 (2 sessions cash only)
125 (2 sessions cash & CC)
130 (2 session CC only)
180 (3 sessions cash only)
185 (3 sessions 2 cash & 1 CC)
190 (3 sessions 1 cash & 2 CC)
195 (3 sessions CC only)
USA Roller Sports (USARS) Star Skate Program Registration Number. (Please complete the one-time annual registration for USARS membership using the registration link above and team registration number MD010L.)
*
Proof of Star Skate Membership (Upload Image)
*
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