Children's Skating Program: Warwick
Please read the requirement section after filling out this form.
Which session will you be attending? *
Name (Child's Last) *
Your answer
Name (Child's First) *
Your answer
Child's Date of Birth (M/D/Y)/ Age *
Your answer
Address *
Your answer
Email *
Your answer
Phone Number *
Your answer
What level skater is your child? *
Has your child passed any badges? *
Session #2 Information
Session #2
Start Date: January 9
End Date: March 12
Time: 5-6
Payment: $150
Session #3 Information
Session #3
Start Date: March 19
End Date: May 14
Time: 5-6
Payment: $135
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 *
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) *
Your answer
How did you hear about us! *
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