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Session2

POWERskate

Fees:

$200

Program Details

_______________________

Program Duration:

6 Weeks

Weekday:

Time:

Tuesday

to

6:10pm

7:00pm

Start Date:

21-Oct-25

End Date:

25-Nov-25

Age:

6-8

Fall

Levels:

1-5

Season:

Payment Options:
Option 1) Online registration and e-transfer:
Complete the below registration form BEFORE sending e-transfer payment

All e-transfers must be emailed to kppspayment@gmail.com.
IMPORTANT You must include your skater's first and last name, class day and start date, and time in the memo of the e-transfer so we can match the payment to the registration. All e-transfers must be received no later than 24 hours after your registration form has been completed

Registration Form

Skaters First Name*

Skaters Last Name*

Gender*

Male

Female

Skaters Age*

Special Needs*

Yes

No

Last Level Passed (Not Required)

Is this your first class?*

Yes, I'm new here!

No, I've taken classes before

Skaters Birthday*

Year

Month

Day

Address*

Email*

Phone*

Parent or Guardian Name

Payment Terms and Photography Release

I understand that all e-transfers must be sent within 24 hours of completing this form.

By Checking this box you are giving St. Catharines Recreational Skate permission to use images of your skater for promotional purposes, website, etc.

Release of Liability*

I certify that the applicant is in good physical and mental health. I will assume all risks and hazards incidental to such participation including medical and dental expenses and do waive, release, absolve, indemnify and agree to hold harmless St. Catharines Recreational Skate and Staff. I have read and accepted the refund and cancellation policy.

Comments

Signature*

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© 2019 www.kppskate.com Contact Us: Email: KamLskate1@gmail.com
Phone: (905) 941-4936

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