Columbus Figure Skating Academy
Registration Form
Email address *
Skater's Name *
Your answer
Age *
Your answer
Date of Birth
Your answer
Parent/Guardian's Name *
Your answer
Parent/Guardian's e-mail address *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Home Phone *
Your answer
Cell Phone
Your answer
Which day of the week would you want to attend Learn to Skate? *
Does the skater have medical conditions or take any medications? *
Your answer
Insurance Provider
Your answer
Emergency contact *
Your answer
Emergency contact's phone number *
Your answer
• Registration Form and Amateur Athletic Waiver & Release of Liability must be signed before participation *
Required
• Full Payment is due on or before the First session (Cash or check accepted) *
Required
• Missed Figure Skating Sessions will NOT be made up. NO refunds will be made. *
Required
Your answer
• All Basic Skills skaters should wear warm clothes, gloves and a helmet while on the ice *
Required
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