LTS Hockey Program Registration : The Skating Club of Wilmington

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Today*

Skater Information

Name - Skater #1*

First Last

Parent/Guardian

Name of the parent or guardian for any minor submitted on this application.

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Age - Skater #1*

Date of Birth - Skater #1*

Have you ever skated before? - Skater #1*

YES
NO

Highest Basic Skill Level PASSED - Skater #1*

If you have previously participated in a USFSA sanctioned Basic Skills Program, please select the highest level passed from the drop down.

Session Selections

Group Lesson Selection*

Includes:
Features professional instructors and curriculum
1 hour sessions: 30 minutes instruction + 30 minute practice
Rental skates are available. Full hockey equipment not allowed
- Session 1 - 6 Week Series Fri. 6:15-7:15pm (May 2 - June 6)
- Session 2 - 5 Week Series Fri. 6:15-7:15pm (June 13 - July 11)
- Session 1 & 2 - 11 Week Series Fri. 6:15-7:15pm (May 2 - July 11)

*Dates subject to change slightly, in the event of inclement weather, power outage or other unforeseen circumstances.

Skate Rental

If you will require skate rentals check this box.

Yes, this skater will require rental skates

Skate Rental

If you will require skate rentals check this box.

Yes, this skater will require rental skates

Skate Rental

If you will require skate rentals check this box.

Yes, this skater will require rental skates

Late Application Fee (Session 1)

Late Application Fee (+$20)

Late Application Fee (Session 2)

Late Application Fee (+$20)

Late Application Fee (Session 1 & 2)

Late Application Fee (+$20)

Additional Family Members

20% Discount for multiple skaters from the same household. How many skaters from the same household would you like to add?

Skater #2

Name - Skater #2*

First Last

Age - Skater #2*

Date of Birth - Skater #2*

Have you ever skated before? - Skater #2*

YES
NO

Highest Basic Skill Level PASSED - Skater #2*

If you have previously participated in a USFSA sanctioned Basic Skills Program, please select the highest level passed from the drop down.

Group Lesson Selection - Skater #2*

Includes:
Features professional instructors and curriculum
1 hour sessions: 30 minutes instruction + 30 minute practice
Rental skates are available. Full hockey equipment not allowed
- Session 1 - 6 Week Series Fri. 6:15-7:15pm (May 2 - June 6)
- Session 2 - 5 Week Series Fri. 6:15-7:15pm (June 13 - July 11)
- Session 1 & 2 - 11 Week Series Fri. 6:15-7:15pm (May 2 - July 11)

*Dates subject to change slightly, in the event of inclement weather, power outage or other unforeseen circumstances.

Skate Rental - Skater #2

If you will require skate rentals check this box.

Yes, this skater will require rental skates

Skate Rental - Skater #2

If you will require skate rentals check this box.

Yes, this skater will require rental skates

Skate Rental - Skater #2

If you will require skate rentals check this box.

Yes, this skater will require rental skates

Skater #3

Name - Skater #3*

First Last

Age - Skater #3*

Date of Birth - Skater #3*

Have you ever skated before? - Skater #3*

YES
NO

Highest Basic Skill Level PASSED - Skater #3*

If you have previously participated in a USFSA sanctioned Basic Skills Program, please select the highest level passed from the drop down.

Group Lesson Selection - Skater #3*

Includes:
Features professional instructors and curriculum
1 hour sessions: 30 minutes instruction + 30 minute practice
Rental skates are available. Full hockey equipment not allowed
- Session 1 - 6 Week Series Fri. 6:15-7:15pm (May 2 - June 6)
- Session 2 - 5 Week Series Fri. 6:15-7:15pm (June 13 - July 11)
- Session 1 & 2 - 11 Week Series Fri. 6:15-7:15pm (May 2 - July 11)

*Dates subject to change slightly, in the event of inclement weather, power outage or other unforeseen circumstances.

Skate Rental - Skater #3

If you will require skate rentals check this box.

Yes, this skater will require rental skates

Skate Rental - Skater #3

If you will require skate rentals check this box.

Yes, this skater will require rental skates

Skate Rental - Skater #3

If you will require skate rentals check this box.

Yes, this skater will require rental skates

Skater #4

Name - Skater #4*

First Last

Age - Skater #4*

Date of Birth - Skater #4*

Have you ever skated before? - Skater #4*

YES
NO

Highest Basic Skill Level PASSED - Skater #4*

If you have previously participated in a USFSA sanctioned Basic Skills Program, please select the highest level passed from the drop down.

Group Lesson Selection - Skater #4*

Includes:
Features professional instructors and curriculum
1 hour sessions: 30 minutes instruction + 30 minute practice
Rental skates are available. Full hockey equipment not allowed
- Session 1 - 6 Week Series Fri. 6:15-7:15pm (May 2 - June 6)
- Session 2 - 5 Week Series Fri. 6:15-7:15pm (June 13 - July 11)
- Session 1 & 2 - 11 Week Series Fri. 6:15-7:15pm (May 2 - July 11)

*Dates subject to change slightly, in the event of inclement weather, power outage or other unforeseen circumstances.

Skate Rental - Skater #4

If you will require skate rentals check this box.

Yes, this skater will require rental skates

Skate Rental - Skater #4

If you will require skate rentals check this box.

Yes, this skater will require rental skates

Skate Rental - Skater #4

If you will require skate rentals check this box.

Yes, this skater will require rental skates

Skater #5

Name - Skater #5*

First Last

Age - Skater #5*

Date of Birth - Skater #5*

Highest Basic Skill Level PASSED - Skater #5*

If you have previously participated in a USFSA sanctioned Basic Skills Program, please select the highest level passed from the drop down.

Have you ever skated before? - Skater #5*

YES
NO

Group Lesson Selection - Skater #5*

Includes:
Features professional instructors and curriculum
1 hour sessions: 30 minutes instruction + 30 minute practice
Rental skates are available. Full hockey equipment not allowed
- Session 1 - 6 Week Series Fri. 6:15-7:15pm (May 2 - June 6)
- Session 2 - 5 Week Series Fri. 6:15-7:15pm (June 13 - July 11)
- Session 1 & 2 - 11 Week Series Fri. 6:15-7:15pm (May 2 - July 11)

*Dates subject to change slightly, in the event of inclement weather, power outage or other unforeseen circumstances.

Skate Rental - Skater #5

If you will require skate rentals check this box.

Yes, this skater will require rental skates

Skate Rental - Skater #5

If you will require skate rentals check this box.

Yes, this skater will require rental skates

Skate Rental - Skater #5

If you will require skate rentals check this box.

Yes, this skater will require rental skates

PAYMENT

Comments

Please add any comments that will help us process your order.

Disclaimer*

You recognize that The Skating Club of Wilmington is not liable for injury during participation of any activity or theft of personal belongings. All registrations are final. No refunds. We will try to accomodate you as much as possible if you miss a lesson and wish to make up a lesson, but only within the current Group Lessons series.

Yes, I have read and agree to the above Disclaimer.

Photo and Video Release*

The Skating Club of Wilmington reserves the right to use images of our skaters as part of social media, on our website or for publicity purposes. By submitting this registration, you acknowledge and give us permission to do so.

I agree to the photo and video release for all skaters submitted with this registration.

Total

$0.00

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