Skating Lesson Registration


Name (Student)__________________________________*Age________*





No refunds will be given after this lesson begins.

I, Signed below, have read and agreed that I will not hold Tony K. Johnson and/or the skating facility at fault for any injury that may occur during or after this lesson. I also understand that Tony Johnson will protect my e-mail information and use it only for his tool for communication.


Student Sign (Parent if under 18)_________________________________


Parent(s) name(s): PRINT________________________________________________


This ______day of_________and the year of___________


(Please check one) Level of Experience with skating is:








Payment will be due in cash and/or check on the first day of the class.


$75.00 per student (all Ages) for a six week course (not available at this time)