2019 COIR SKATE SCHOOL PROGRAMS REGISTRATION
Skater Full Name
Date of Birth (DD/MM/YYYY)
Prefer not to say
Emergency Contact Name (parent/guardian/or other)
Emergency Contact Number
Did you participate in a COIR Skate School Program in 2018?
If yes which level skate school are you in, or which program did you participate in? (eg. Intro C, level 5, coffee club, playgroup, speed school etc.)
Which Skate School Programs are you interested in?
Learn to Skate Classes
Speed School (short track speed skating)
Hockey Development or Mites Hockey (ice hockey)
Figure Gold Classes (figure skating, ice dancing)
Playgroup (kids under 5 years)
Coffee Club (adults)
Special Olympics (skaters with an intellectual disability)
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