Clone of Skating Lesson Registration Form

Ice Skating Lesson Registration

Skating Club of Brunswick
Skating lessons includes a 20 minute lesson and the remainder of Friends & Family ice for free-skate/practice. Available for both children and adults.
Price (8 sessions): $160 for the first participant and $60 for each additional family member participating in lessons. Please note, helmets are required for children 5 years and under. No rental skates available.
Located at Watson Arena, Bowdoin College
Contact Tally Brown with any questions: mary.t.brown56@gmail.com

1st Session:

Sundays starting November 2, 2025

Lessons begin at 3:30PM
Participant 1 Name*

First NameLast Name
Participant 1 Age*
Participant 2 Name (If Applicable)

First NameLast Name
Participant 2 Age (If Applicable)
Participant 3 Name (If Applicable)

First NameLast Name
Participant 3 Age (If Applicable)
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Emergency Contact Relationship*
Doctor Name*
Doctor's Phone Number*
Please enter a valid phone number.
Insurance Carrier & Policy #:*
Please list any medical conditions, including allergies and prescriptions:
Does the participant have any special instructional needs?

YESNO
If yes, please describe:
Has the student(s) ever had any lessons before?*

YesNo
If yes to question above, what is the approximate ability of the skater(s)? *Please note, instructors will assess ability if unsure. Instructors have the right to adjust skaters to other skill levels based on their skills.
Any additional notes or information:
Have you read and agree to the terms of the waiver? (The waiver can be found on our website https://skatebrunswick.com/) Please note, this is required to participate in Friends & Family Ice as well as lessons.*

YESNO
I understand that I will have to pay (checked option amount below) upon arrival. Checks can be made payable to "The Skating Club of Brunswick".*

1 Participant $1602 Participants $2203 Participants $280
Date registration form completed:

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Date
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Ice Skating Lesson Registration