Laura Stamm International Power Skating System

We're sorry. This class is full. You can add your name to the wait list by completing the form below. We will notify you by email when an opening occurs. Thank you for your interest.

Navin Arena, Marlboro
Clinic, Group A, Ages 7 to 11 - Clinic
Group A, Ages 7 to 11
Mon, July-23-2012 to Thu, July-26-2012
9:00am - 10:30am
$ 199

Pre-Requisites: Please read the Registration Procedures Before Filling Out This Form
Waiver:	I have read and agreed to the waiver release: Yes
Student Details
Student Name:	First	Last
Date of Birth:	Month Day Year
Parent Name(s):
Gender:	Male Female
Address:
	City:	State:
	Zipcode:	Country:
Phone:	Day: Evening: Emergency:
E-Mail Address:
What hockey organization are you with, if any?
Are you returning to Laura Stamm?	Yes No
	If Yes, where did you last attend class (city and rink): If Yes, when did you last attend (month/year):
Hockey Experience:
How did you hear about us?

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