Parent's Full Name *

First Name

Last Name

Parent's Phone # *

(###)

###

####

Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Skater's Full Name *

First Name

Last Name

Has your child taken any Learn to Skate classes or private lessons? *

Yes

No

Checkbox *

Please check off all weeks you plan to attend camp. We will not have camp the week of August 1

July 8-12

July 15-19

July 22-26

July 29-August 2

August 5-9

August 12-16

August 19-23