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Registration Form
Calalta and out of club fee is payable only
ONCE
for the Spring, Summer and Late Summer Sessions.
* - Required Field
I/We, acknowledge that we have read, understand and agree to the
Code of Behavior & Skating Standards
as a Member/Supporter of the Calalta Program.
Name:
*
Age:
Date of Birth:
* mm/dd/yy
Address:
*
City:
*
Postal Code:
*
Phone Number:
*
Emergency Contact #:
Health Care #:
*
Email:
*
Member of Skate Canada
No
Yes
Parents Name:
Primary Coach:
Secondary Coach:
* 10% discount if registration submitted on or before April 15th.
SPRING SELECTION MAY 17 - JUNE 26
May 17 - May 21
Canskate 6 Sessions $130.00
Adult Group Learn to Skate 6 Sessions $130.00
Sub Total
10% Discount = $
GST
Total = $
* Cheques can be post dated to May 15th 2010
Friday May 28
Friday - June 4
Friday - June 11
Friday - June 18
Friday - June 25
FRIDAY
6:15 - 7:15
CanSkate
6:15 - 7:15
Adult Group Learn
Totals
Total Ice =
$
10% Discount =
$
Sub Total =
$
GST 5% =
$
Total =
$
Comments
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