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Skating Lessons at the Blue Cross RiverRink Application

*First Name
*Last Name
Age

Parent's Name
(if applicant is a child)

*Address
*City
*State *Zip
Home Phone

Work Phone

Fax
*Email
Has the applicant had lessons before?

Ability




Children under the age of 6 are required to bring and wear a helmet (bicycle or hockey).

Price: $90.00 per session per applicant
The program is 6 weeks, which includes skate rental, 30 minutes of group instruction and 60 minutes of practice time.

Payment is due in full at time of registration. No refunds once lessons begin. (Registration ends Wednesday, January 6, 2010)

Lesson Schedule
10:30am-12:00pm
Sundays, January 10 (Orientation), 17, 24, & 31, 2010
February 7, 14, & 21, 2010

Mail payment to: Blue Cross RiverRink, 121 N Columbus Blvd, Phila., PA 19106

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