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Columbus Figure Skating Academy
Registration Form
Email address *
Skater's Name *
Your answer
Age *
Your answer
Date of Birth *
Your answer
Parent/Guardian's Name *
Your answer
Parent/Guardian's e-mail address (if different)
Your answer
Street Address *
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City *
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State *
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Zip Code *
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Phone 1 *
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Phone 2
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Which day of the week would you want to attend Learn to Skate? *
Does the skater have medical conditions we need to be aware of? *
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Emergency contact *
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Emergency contact's phone number *
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• Registration Form and Athletic / Photo Waiver & Release of Liability must be signed before participation *
Required
• Full Payment is due on or before the First session (Credit, Cash or Check accepted). A $25 fee will be assessed for any returned checks. *
Required
I agree to receive communications from CFSA *
• NO refunds can be made for missed figure skating sessions *
Required
• All Basic Skills skaters are encouraged to wear warm clothes, gloves and a helmet while on the ice. These items are not required. *
Required
USFS or LTS Member Number (if prior skater)
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