2017 Skate Clinic Registration Form, ages 7-13
Please complete only after registering your child online.
Email address *
Order # (your order # can be found in your email from info@levitatesurf.com after signing up for skate clinics) *
Your answer
Please check the week(s) your child is signed up for: *
Required
Skater's First Name *
Your answer
Skater's Last Name *
Your answer
Skater's Age *
Your answer
Street Address *
Your answer
City, State, Zip Code *
Your answer
Tee Shirt Size
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