STSAHA Skating Clinic Registration - 7pm
Complete this form to register for an available skating clinic sponsored by Southtowns Stars. There is a maximum number of 30 registrants. The cost for the clinic is $10 and must be paid via Venmo to @beverly-kirkpatrick-2. The Southtowns Stars logo will appear above Beverly's Name. There is no additional method of payment at time time. Please arrive 30 minutes prior to your skate time to allow time to get dressed.
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Skater Last Name
Skater First Name
Date of Birth:
Current STS Head Coach's Last Name:
Parent / Guardian First & Last Name:
Best Contact Phone:
Emergency Contact First & Last Name:
I am a Southtowns Stars registered player:
What program do you currently play for?
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