A Chilling Halloween
Skater's Name(s) *
Parent's Name *
Email *
Phone Number *
Program 1 Name *
Music Title *
Duration of Program (in minutes) *
Describe your Character
Name to be introduced during the show (if you are skating as a character, do you want to be introduced as that character?)
How would you describer your program? Pick one. *
Program 2 Name
Names of other skaters in program (if applicable)
Song Name
Duration of Program (in minutes)
Describer your Character(s)
Name to be introduced as.
How would you describer your program? Pick one.
Clear selection
Registration is not complete until payment is received. Please deposit check in Heartland Box at ICI or give to Kiana Haugh or Lea Ann Reed.
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