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:
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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