2019 QUAD FIT REGISTRATION FORM
Form Description
REGISTRATION FORM
Name
Your answer
Date Of Birth (Must Be 18+ To Register)
MM
/
DD
/
YYYY
Phone Number
Your answer
Email Address
Your answer
Are You Already Insured With Skate Vic?
Skate Vic Insurance Form Completed
Payment Method (Program $100, Insurance $35, Skate Hire $40)
Please List Any Safety Gear You Already Own (Helmet, Wrist Guards, Elbow Pads, Knee Pads,)
Your answer
Do You Own Your Own Skates?
If You Intend To Hire Skates From Us, Please Note Your Shoe Size. (Our Collection Of Skates Is Limited)
Your answer
If You Intend To Borrow Gear From Us, Are You Typically S, M, Large?
Your answer
How Did You Hear About Us?
Your answer
Mouthguards are recommended for this class, but they are not mandatory. We sell Sizu mouthguards for $40 if you would like to buy one.
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