Course Registration Form

Registration Form for Skate Lessons

Skate lessons are open to the public for ages 6–17 and will be held on June 11th, June 25th, July 9th, and July 16th from 5:00–6:15 PM. Admission is free, but space is limited to 15 participants per session—so be sure to reserve your spot early!
Student Name

First NameLast Name
Birth Date

MonthDayYear
Gender
YesNo
Emergency Contact

Having an emergency contact for each registered student ensures that we can quickly reach a trusted individual in case of a medical issue, safety concern, or unexpected situation. This allows us to respond promptly and appropriately, prioritizing the student's well-being and maintaining a safe environment.
Name

First NameLast Name
E-mail
example@example.com
Mobile Number
Select how your child will be picked up from the session
Additional Comments
Should be Empty:

Registration Form for Skate Lessons