Learn To Skate * Learn To Play * Cross Ice
Registration Form
Please Print Form and mail, fax or drop in Pro Shop
Kentwood Ice
Arena
6230 Kalamazoo Ave.
Kentwood, MI 49508
If you have any questions or concerns about this program, please feel free to contact
us at any time @ 616 698-0100
Times for both Learn to Skate and Learn to Play are contingent on enrollment and may be changed
slightly if need be. If that should happen you will be informed before the classes begin.
________________________________________________________
Skaters
Name:________________________Birth Date __________
Phone Number:____________________________________________
Parent(s) Name:____________________________________________
Email:______________________________________________________
Address____________________________________________________
____________________________________________________________
Learn
to Play$_______ Session_____ Learn to Skate$_______ Session____
Cross Ice
$_________ Session_______________
Payment: Amount_________ Check #___________Cash___________
Visa___Mastercard___
exp:_______
Credit Card #__________________________________________
Name on Card_________________________________________
Signature_____________________________________________
Date_________________
