Palisades Skating School Class Registration

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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:

*

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:

Additional Email:

Additional Email:

Additional 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