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Ice Vault Arena, Wayne
Select Workshop Ages 11 to Adult - Select Workshop
Ages 11 to Adult
Tue, May-30-2017 to Thu, June-01-2017
6:30pm - 8:45pm
Players attending this class must have completed their first year of playing Pee Wee or higher. And at least AA or AAA level hockey. We will screen applicants!
$ 399
Waiver: I have read and agreed to the waiver release:     Yes
Terms and Conditions: I have read and agreed to the Terms and Conditions:     Yes
Student Details
Student Name: First Last
Date of Birth: Month     Day     Year 
Parent Name(s):
Gender:  Male    Female
  City:  State (US, Canada): 
  Postal Code (US, Canada):  Country: 
Parents' Phone: Day/Cell:     Evening/Home:     Emergency: 
E-Mail Address:
Confirm E-Mail Address:
E-Mail Address:
Confirm Secondary
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 and year):
Hockey Experience:
Join our mailing list?  Yes    No
How did you hear
about us?
  I understand that failure to provide accurate and truthful information will subject my student to dismissal from the program and forfeiture of fees paid per our cancellation policy. LS Power Skating Inc. reserves the right to request a birth certificate.     Yes
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