LESSON ENROLLMENT FORM
*

Please print out this information and liability release form and fill it in. Bring it with you to the first class you are attending. Remember to check this website for last minute lesson schedule confirmation, or you may call Sara Stinnett at 664-0343.

Student Name:

Address:

Phone:

Age:

I realize that roller skating can be dangerous and should I or my child be injured while taking skating lessons, I will not hold Sara Stinnett, coach, or Skate Plaza liable.

Date
:
Skater's signature if over 18:

Parent's signature if skater is under 18:



*This is a temporary form, should you be sending your child to lessons the first time without you. A Student Information / Liability Release Form will need to be filled out at the rink.
 
 
 
 
 
 
 
 
 
 
 
 
 

Home | Roller Overview | Coach, Sara Stinnett | Fundamentals Class | Intermediate Class
Advanced Class
| Adult Class | Private Lessons | Competitive Skating | Enrollment Form | Contact Sara