Hampton Speedskating Club Registration - 2019-2020
Welcome to the Hampton Speed Skating Club. Please enter the information for registering your skater.

You will need to fill out one form per skater.
First Name *
Your answer
Last Name *
Your answer
Gender *
Required
Program registering in *
Please register in the group you were in last season unless you received an email to change groups. All new skaters will be assessed by the coach to determine the appropriate group he/she should be in. The first child pays full price. All other skaters in the household will be discounted $25
Required
Address *
Your answer
City *
Your answer
Postal Code *
Your answer
Home Phone number *
Your answer
Cell phone number *
Your answer
Email Address *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Age as of June 30, 2019 *
Your answer
Parent(s)/Guardian(s) Name(s) *
Your answer
I acknowledge that photos of my child, taken at club skating events, may be posted on the club bulletin board and website and that no personal information will be disclosed on the website without the parent/guardian prior permission. *
By checking the box below you agree to the above statement.
Required
Do you require skates? *
We have a speed skate rental program. You can rent boots & blades, just boots or just blades.
Required
Speed Skate Canada Number - if known
Your answer
Other notes
Please tell us if you have any other concerns or issues we should be aware of.
Your answer
We accept cheques and etranfers.
Please make cheque out to :
Hampton Speed Skating Club


Etranfer to: hamptonssc@gmail.com
How would you prefer to pay:
Submit
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