Name *

First Name

Last Name

Name of Skater *

First Name

Last Name

Playing Level

House League

Select

A

AA

AAA

B

BB

Other

Camp Option *

Please select which camp option you would like to register for:

Full 3-day camp ($400/Skater or $350/Skater Sibling/Friend Discount)

Half-day drop-in ($100/Skater)

Daily drop in ($150/Skater)

Emergency Contact Phone Number *

(###)

###

####

Name of Friend/Sibling

Please leave this field blank if you are not signing up with the Friend/Sibling discount.

First Name

Last Name