CAVALIER FAMILY SKATING CENTERS, USA

1924 Jefferson Davis Highway, Stafford VA  22554      Call 540.657.0758   FAX 540.657.1758

SKATE LESSON REGISTRATION INFORMATION:

(print and bring with you to your first class)

CLASS START DATE:  ________________________________________________________

STUDENT'S NAME:  __________________________________________________________

STUDENT'S AGE:  _________________

CUSTODIAL PARENT/GUARDIAN SIGNATURE:  ______________________________

ADDRESS:  ____________________________________________________________________

PHONE:  Home  ___________________________       Work  ________________________