Blackstock Skating Club 2022/2023 Registration
Season Dates: November 3rd 2022 to March 9 2023
Arena Address: 3340 Church Street, Blackstock, Ontario
Contact us at: skatingblackstock@gmail.com
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Child's Name: *
Child's Age as of November 3, 2022 *
Child's Date of Birth *
Does your child have any health or safety concerns that we should be aware of while coaching them?

(Allergies, medical conditions, physical limitations, social concerns, fears, behaviours, etc). 
Skate Canada Number (if your child has previously skated, and if you have it)
Parent/Guardian Name (s) *
Mailing Address *
Phone Number *
Email *
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