Learn to Skate

Spring Session II

April 15, 22, 29

May 6, 13, 20

4:45 - 5:30 pm

2155 Ambassador Dr

Lancaster PA 17603

SKATER REGISTRATION

Learn to Skate Spring Session II: April 15, 22, 29; May 6, 13, 20 ($5 late registration fee applies as of session start date)*

Snowplow Sam 1-4 ($125.00)
(ages 3-6)
Basic Skills 1-6 ($125.00)
(youth ages 7-17 & adult ages 18+)
Pre-Freeskate - Freeskate 6 ($125.00)
Pre-requisite: must have passed Basic 6
(youth ages 7-17 & adult ages 18+)
Hockey 1-4 ($125.00)
(youth ages 7-17 & adult ages 18+)

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*

Address*

Emergency Contact*

Emergency Contact Number*

Returning skater early-bird discount (valid through 4/2)

Use code FAMILY 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*

RegFox Event Registration Software

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