Skating Lesson Registration
***PLEASE PRINT***

 

Name (Student)__________________________________*Age________*

Address___________________City____________State___Zip_______

Phone1______________Phone2______________phone3______________

*******E-mail_______________________________________********

 

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:

 

_____Beginner

 

_____Intermediate

 

_____Advanced

 

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)

 

 

 

4skating@bellsouth.net 404-797-9824
www.SK8Academy.com