Rothman Ice Rink at Dilworth Park
Learn To Skate Registration 2016/17
Price is $99 per session. This price includes four 30 minute classes, skate rental and a punch card good for 5 free admissions and skate rentals, valid anytime during your session. There will be 2 time slots per session, 9:30AM - 10:00AM and 10:05AM - 10:35AM. 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.

*Space is Limited

Session
Pick 1 of the following sessions
Skater's Full Name
Your answer
Parent/Gardian
If Skater is under 18
Your answer
Date of Birth
(mm/dd/yyyy)
MM
/
DD
/
YYYY
Street Address
Your answer
City
Your answer
State
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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