Palisades Skating School Online Class Registration

Family & Contact Information
Step 1 / 4


Note: Password must be greater than
5 alpha-numeric characters in length.

Email: *
Password: *
Parent/Guardian First Name:
Parent's First Name
*
Parent/Guardian Last Name:
Parent's Last Name
*
Address:
Mailing Address
*
Address:
Mailing Address
        
City:
Mailing City
*
State:
Mailing State
*
Zip:
Mailing Zip code
*
Phone:
Phone Number (xxx-xxx-xxxx)
*
Mobile Phone:
Emergency Contact or Mobile/Cell phone number (xxx-xxx-xxxx)
        
Additional Email:
Email
        
Additional Email:
Email
        
Additional Email:
Email
        
Additional Email:
Email
        
How did you hear about us:
How did you lear about the
Palisades Skating School?
 
 
I would like to join my skater on practice ice:
Allows the above listed parent
to skate on skating school practice ice
with their skater for an annual fee of $25.
This includes rental skates.
Annual = Sept 1 - Aug 30
        
Additional parental practice ice skater:
Allows an additional parent or guardian
to skate on skating school practice ice
with their skater for an annual fee of $25.
This includes rental skates.
Annual = Sept 1 - Aug 30
        
* required