Learn to Skate Registration | North Iowa Figure Skating Club

Session One / One form per skater / *Denotes required field

Name *

First

Middle

Last

Date of Birth *

Gender *

Primary Email *

street yes, or

Primary Phone *

Street Address *

Address Line 1

Address Line 2

City

State

Zip Code

Parent(s) / Legal Guardian(s) Name: *

Secondary Email

Will your skater need to borrow skates? *

If yes, skater's street shoe size:

Any additional questions, or information we should know about your child?

Learn to Skate Classes *

Synchro Classes (Optional Extra) – Current skill level MUST BE Basic 4 or higher

Child must be Basic 4 or higher

Square *

Card

Name on Card

Prove you are not a robot: *

=