World Ice Arena Private Lesson Enrollment Form
Skaters Information
Name
*
First Name
Last Name
Additional Name (if semi-private lesson)
First Name
Last Name
Age
*
Gender
*
Male
Female
Parent/Guardian Name (if under 18 years of age)
First Name
Last Name
E-mail
*
Primary Phone
*
-
Area Code
Phone Number
Secondary Phone
*
-
Area Code
Phone Number
Lesson Information
What is your skater(s) level?
*
Coach Requested
What is your lesson availability?
*
Additional Notes
Anything additional you want the skating school to know
Terms and Conditions
Signature (please type full name)
*
Submit
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