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Skater Information
Skater's First Name
*
Skater's Last Name
*
Prior Skating Experience? (Please be as specific as possible)
*
Skater's Birthdate
*
+
Program Registration
*
Winter 2025 ($150) February 5 - March 12
Spring 2025 ($150) April 2 - May7
Parent/Guardian Information
If you are an adult skater, fill out for yourself!
Parent/Guardian First Name
*
Parent/Guardian Last Name
*
Parent/Guardian Email Address
*
Mailing Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
*
Medical Insurance Company
*
Policy Number
*
Terms & Conditions
I understand that my skater(s) may be placed in the 4:10 or 4:35 class based on age group and/or level and I cannot request one time or the other.
*
Yes
I understand that my skater(s) will be given a punch card for extra public sessions on Week 1 and it our sole responsibility to keep track of this card. The Punch card will NOT be replaced if lost or destroyed.
*
Yes
Participation Release - I have read and acknowledged the Medical Release, Release of Liability, Photo Release and all rules of the Sun Valley Figure Skating Club regarding my or my child's participating in the Learn To Skate class program. Additionally,
*
Yes
I agree, but do not wish to have my child's image used by the Sun Valley Figure Skating Club and Learn To Skate.
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