If you are interested in finding a coach and starting private lessons please fill out this form and a board member or coach will get back to you as soon as possible.

Skater's Name

First Name

Last Name

Parents Name

First Name

Last Name

Age

Highest skating tests passes or experience level

Daytime Phone

(###)

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Evening Phone

(###)

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Best day & time for lesson(s)

Instructor Preference

Interested in (please choose all that apply)

Additional Comments