Rothman Ice Rink at Dilworth Park
Learn To Skate Registration 2017/18
Price is $99 per session. This price includes four 30 minute classes (held on Tuesdays), admission and skate rental. Session date, time slots and age groups are listed below. You will receive an email approximately 3 days before your session begins letting you know what time slot you are in. Please complete one form per skater. Payment may be made by clicking the link at the end of this form or at the rink the first day of the session. Sessions must be paid in full prior to participating in the first class.

*Space is Limited
*No refunds

Session *
Pick 1 of the following sessions (all lessons are held on Tuesdays):
Time Slot *
Required
Skater's Full Name *
Your answer
Parent/Guardian
If Skater is under 18
Your answer
Skater's Date of Birth *
(mm/dd/yyyy)
MM
/
DD
/
YYYY
Level of Skate Ability *
Required
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Email Address *
Your answer
Phone Number *
xxx-xxx-xxxx
Your answer
Emergency Contact *
Your answer
Emergency Contact Phone *
xxx-xxx-xxxx
Your answer
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