Children's Skating Program: Warwick
Please read the requirement section after filling out this form.
Which session will you be attending?
Session #1 Information (October 17- December 19)
Session #2 Information (January 9- March 12)
Session #3 Information (March 19-May 14)
Age of Child
Date of Birth
What level skater is your child?
Has your child passed any badges?
If yes, which badges?
Snow Plow Sam 1
Snow Plow Sam 2
Snow Plow Sam 3
Session #1 Information
Start Date: October 17
End Date: December 19
Session #2 Information
Start Date: January 9
End Date: March 12
Session #3 Information
Start Date: March 19
End Date: May 14
Discounted price when purchasing all 3 sessions-$370
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)
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