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SKATES' OUT Check Out
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Check Out
Student 1 First Name
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Student 1 Last Name
*
Student 2 First Name
Student 2 Last Name
Email
*
Phone
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Address
*
City
*
State
*
Zip
*
Will this be your first time on skates?
*
-
Yes
No
Location
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Gwinnett
Smyrna
Shoe Size
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How long have you been skating?
Pick a Skate Camp (if applicable)
Please Select
June 8th - 12th
What is it that you're wanting to accomplish by the end of the four week program?
Do you have any type of health conditions that would prevent you from continuing this program. If so please explain...
How did you hear about us?
Waiver Of Liability
*
I understand that as with all activity, risk is involved in participation in SkatesOut and related activities from minimal to catastrophic, I release SkatesOut, Sparkles Roller Rink, their Officers, Instructors from all responsibility
Hidden
Skates' Out Classes
*
Please Select
Skate Camp
Adult Beginner Program
Adult Skate Lesson Beginner Combo with New Skates
Adult Intermediate Backward Skating Program
Youth & Teen Beginner Program
Youth & Teen Skate Lesson Beginner Combo with New Skates
Youth & Teen Intermediate Backward Skating Program
Quantity
*
Please enter a number from
0
to
10
.
Billing Info
First Name
*
Last Name
*
Email
*
Address
*
Address 2
City
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State
*
Zip
*
Country
*
Total
$0.00
Email
Phone
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