Pickering Registration Form

 

Parent / Guardian  (Required)

Address  (Required)

City  (Required)

Phone #  (Required)

E-Mail  (Required)

 

Child 1
 Child Name  Age 
 Session 
 Day of Week 
 Program Start Date 
Class 
Arena 
Time of Class 
Have you participated in Laurie's Learn to Skate before? 
 If YES, what Program? 

Child 2
Child Name Age 
Session 
Day of Week
Program Start Date
Class 
Arena 
Time of Class 
Have you participated in Laurie's Learn to Skate before?
If YES, what Program? 

Child 3
Child NameAge
Session  
Day of Week
Program Start Date

Class

Arena  
Time of Class 
Have you participated in Laurie's Learn to Skate before?
If YES, what Program? 
                                                                                
 

The Applicant agrees that Laurie's Learn To Skate, it's Directors, Agents, Employees and any other persons or corporation connected herewith will not be responsible for any accident, injury, or loss, however caused and agrees to release the above mentioned from all claims or damages which may arise as a result of or by any reason of such accident, injury or loss.

When you receive your e-mail confirmation,

please send cheque to address provided to secure your spot or you can drop off your payment @

 Art Thompson Arena upstairs in our Synthetic Ice Room mail slot in the door.  

                             

 Mail Cheque to:
Laurie Shaw
5 Thorndyke Cres
Brooklin, Ontario
L1M 1G5       

Laurie's Learn to Skate Only accepts Cheques or Cash