World Ice Arena Private Lesson Enrollment Form

World Ice Arena Private Lesson Enrollment Form
Skaters Information
Name *

First Name Last Name
Additional Name (if semi-private lesson)

First Name Last Name
Age *
Gender *

Male Female
Parent/Guardian Name (if under 18 years of age)

First Name Last Name
E-mail *
Primary Phone *

Area Code Phone Number
Secondary Phone *

Area Code Phone Number
Lesson Information
What is your skater(s) level? *
Coach Requested
What is your lesson availability? *
Additional Notes
Anything additional you want the skating school to know
Terms and Conditions
Signature (please type full name) *
Should be Empty: