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2. Parent/Guardian
3. Email Address
5. Address
7. City
8. State
9. Zip Code
11. Phone Number
13. Name of Student*
14. Age of Student*
16. Experience of Student*

    1. Beginner, never skated or have been on the ice a few times.
    2. Novice, can skate across the rink without falling, but need more training
    3. Intermediate-confident in fundamentals but want to improve in advanced elements (eg, stopping, skating backwards)
    4. Advanced-looking to fine tune my skating skills
17. Long term Goals*

    1. Hockey
    2. Figure Skating/competing
    3. Recreational

    We want to make sure we have an idea of the direction you're headed to pair you up with the right instructor.

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19. 1. Receive an email copy of this form.
20. Email address

    This field is not part of the form submission.

21. Submit

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