FDIA Schools Skate For Fitness Request Form
Please note:
- Up to one class per visit (no more than 30 students) for grades 2-12
- Safety orientation & skate tying session
- 25 minute skating lesson w/professional skating instructor
- 25 minute free skate
- Skates, gloves & helmets provided
School/Group Name *
Your answer
Grade (s): *
Your answer
# Teachers/Chaperones *
Your answer
# Students *
Your answer
Date(s) Requested *
Your answer
Time(s) Requested *
Your answer
Primary Contact Name *
Your answer
Primary Contact Email *
Your answer
Primary Contact School Phone *
Your answer
Primary Contact Cell Phone *
Your answer
Secondary Contact Name
Your answer
Secondary Contact Cell Phone
Your answer
Secondary Contact School Phone
Your answer
Secondary Contact Email
Your answer
Best way to contact day of trip *
Your answer
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