LTS Enrollment Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

LTS Enrollment Form

Fill out this form to start the enrollment process for Learn to Skate classes, and/or Bronze Power Builder classes. If your payment information is in our system, you will be enrolled and charged as you indicate below. If not, you will need to come in to set up payment.

Skater's Last Name *

Skater's First Name *

Guardian Last Name *

Guardian First Name *

Street Address *

Street Address 2

City *

State *

Zip Code *

Skater's birth date mm/dd/yyyy *

Skater's Gender *

Female

Male

Email Address *

Phone number *

Has the skater had previous skating instruction? *

None

Very little

Took classes before

Required

How many times per MONTH would the skater like to come to class *

4 X per month - Bronze membership - $110

9 x per month - Silver membership - $178.50

Unlimited LTS classes per month - Gold Membership - $220

4 x per month Power Builder class $79- Must have passed Basic 3

9 x per month Power Builder class $129 - Must have passed Basic 3

Required

If the skater would like to start before the beginning of the month, how many classes would the skater like added to the account. *

1 Class

2 Classes

3 Classes

4 Classes

Other:

Required

I understand that this is an autopay contract that will charge automatically on the 1st of each month, and an annual LTS USA fee of $30 when registering and then each JULY 15 following. Cancellation REQUIRES NOTIFICATION BY THE 15TH OF THE MONTH BY EMAIL to skating@sugarlandice.com *

Check here to agree to start classes on autopay.

Required

Submit

Clear form

Never submit passwords through Google Forms.

Forms

This form was created inside of Sugar Land Ice & Sport Center.