Children's Skating Program: Warwick
Please read the requirement section after filling out this form.
Which session will you be attending?
Session #2 Information (January 9- March 12)
Session #3 Information (March 19-May 14)
Name (Child's Last)
Name (Child's First)
Child's Date of Birth (M/D/Y)/ Age
What level skater is your child?
Has your child passed any badges?
Session #2 Information
Start Date: January 9
End Date: March 12
Session #3 Information
Start Date: March 19
End Date: May 14
Payment: Session #2 ($150)
Please pay on the first day or send a check payable to Children's Skating Program at:
10 Hillside Street
Saunderstown, RI 02874
Method of Payment
Check (Payable to Children's Skating Program)
The undersigned acknowledges that each applicant is physically capable to participate in this program; and that the risk of injury exists but such risk is hereby accepted and that the responsibility of medical insurance coverage is upon the applicant. (By typing your name you are signing to the above information)
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