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Parent/Guardian Information

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Last Name

Email

Phone

Street Address

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State

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Skater

First Name

Last Name

Date of Birth

Shoe Size

Preferred Session

Session 1	Session 2
Sept. 12, 11:45	Sept. 16, 6:00
Sept. 13, 5:00	Sept. 19, 11:45
Sept. 14, 6:00	Sept. 20, 5:00

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