2025 WINTER SKATE CAMP REGISTRATION

WINTER BREAK Camp Registration Form

Please fill out entire form. Payment must be made to hold your child’s spot. Limited spots available.

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Parent's Name*

First Last

Parent's Email*

Parent's Phone*

Address*

Street Address Address Line 2 City State ZIP Code

CHILDREN ATTENDING

Child's Name*

First Last

Child's Age*

Please enter a number from 5 to 12.

Child's Birthday*

Additional Siblings (2)

Please check for additional sibling

2nd Child's Name*

First Last

2nd Child's Age*

Please enter a number from 5 to 12.

2nd Child's Birthday*

Additional Siblings (3)

Please check for additional sibling

3rd Child's Name

First Last

3rd Child's Age

Please enter a number from 5 to 12.

3rd Child's Birthday

Emergency Contact Name*

First Last

Emergency Contact Phone*

PAYMENT

WINTER BREAK CAMP*

SESSION #1 – Mon, Dec 22, Tues, Dec 23 & Fri, Dec 26 -OR- SESSION #2 – CLOSED. Price includes skate rental, lunch, morning/afternoon snack and daily game tokens.

SESSION #1 – $150

Please check the number of children attending*

First Child

Second Child

Third Child

Please check the number of children attending*

First Child

Second Child

Third Child

Total

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2025 WINTER SKATE CAMP REGISTRATION

WINTER BREAK Camp Registration Form

CHILDREN ATTENDING

PAYMENT

Parties

Beginner Classes