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Please print this form and
mail it or fax it to (434) 817-2405 ATTN: Lindsay
Tilley, Skating School Director, Charlottesville Ice
Park, 230 West Main Street, Charlottesville, VA 22902.
Skating Classes Are $75.00 They
include passes for four Public Sessions including Skate
Rental. For families with more than one
participant, the fee will be $70.00 per additional family member.
Classes
Begin Monday April 23rd, 2007
This will be a six week session
for only $75.00!
Skater's
Name____________________________________ Birth Date_________
Parent's Name (for skaters 17
and under):
__________________________________________________________________
Address___________________________________________________________
City_________________________________________ State_____
Zip_________
Telephone Numbers: Day
____________________ Evening_________________
E-mail
Address______________________________________________________
Emergency
Contact____________________________Phone_________________
Last Class
Taken________________________ Date of Last Class Taken___________
PLEASE CHECK BELOW FOR THE
CLASS YOU OR YOUR CHILD WISH TO TAKE:
All Classes
cost $75.00 for new students; $70.00 for returning students;
Second and subsequent children in the same family, $5.00
discount! Fee includes: Six classes, skate rental, helmet
rental and 4 Free Passes for public skating for fun and
practice!).
MONDAY CLASSES
(All classes are 30 minutes long)
___ Tots (Ages 3-5)
4:00pm
___ Beginning Skating 1 4:00pm
___ Pre-Alpha 4:00pm
___ Alpha-Beta
4:40pm
___ Gamma/Delta
4:40pm
___ Freestyle
5:20pm
___ Beginning Skating Adult
5:20pm
___ Intermediate Adult
6:00pm
SATURDAY CLASSES (All classes
are 30 minutes long)
___ Tots
10:00am
___ Beginning Skating 1
10:00am
___ Pre-Alpha
10:00am
___ Alpha and Beta
10:35am
___ Gamma and Delta
10:35am
___ Freestyle
11:10am
___ Adults
11:10am
TOTAL FEE
DUE $________
Amount of
Check Enclosed $________ OR Will Pay
On First Class Date ______
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