SEVEN WEEKS: January 6th, 13th, 27th,

February 3rd, 10th, 17th and 24th.

4:45 - 5:30 pm

2155 Ambassador Dr

Lancaster PA 17603

Map It

SKATER REGISTRATION

Learn-to-Skate Winter Session I: Jan 6, 13, 27; Feb 3, 10, 17, 24; ($5 late fee applies as of 1/4)*

Ice Explorers ($140.00) [4 remaining]
(ages 2 & 3)
Snowplow Sam 1-4 ($140.00)
(ages 3-6)
Youth Basic Skills 1-6 ($140.00)
(youth ages 7-17)
Adult Basic Skills 1-6 ($140.00)
(adult ages 18+)
Pre-Freeskate - Freeskate 6 ($140.00)
Pre-requisite: must have passed Basic 6
Hockey 1-4 ($140.00)
(youth ages 5-17 & adult ages 18+)
*skaters must have passed Basic 2 for this class, hockey classes run with 4+ skaters, otherwise skaters will be in corresponding basic skills classes

Skater Name*

Date of Birth*

Gender*

Male
Female

Has skater participated in Learn to Skate classes before?*

If yes, what is skater's LTS Member#

If yes, highest LTS level completed

Skater is interested in*

A signed waiver by event participant or parent/guardian will be required before your registration is complete. A link to obtain waivers for all registrants will be shown on the confirmation page.

How did you hear about us?*

Social Media
Red Rose FSC Website
Regency Ice Rink
Friend/Family
Google Search
Returning Skater

SKATER / PARENT / GUARDIAN INFORMATION

Parent/Guardian Information for all skaters under 18 or Skater Information for all skaters 18+*

Email*

Phone Number*

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Address*

Emergency Contact*

Emergency Contact Number*

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

Returning skater early-bird discount (valid through 12/16)

Use code SKATEFAMILY for a discounted price on subsequent family members after registering first family member at full price

Total

$0.00

Billing Information

Name*

Credit Card*

Visa
Mastercard
American Express
Discover

Address*

Email*

Phone Number*

Yes, it's okay to send me text messages including confirmations, changes, and updates. Message frequency varies. Message and data rates may apply. View our terms of service & privacy policy.

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