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101 Victoria Road, Dunedin 03-456-4556 Email:dunedinice@xtra.co.nz
KIWISKATE TERM 1 2012
MONDAY 13th FEBRUARY - 2nd APRIL 4pm-5pm or MONDAY 13th FEBRUARY - 2nd APRIL 5pm-6pm
THURSDAY 16th FEBRUARY - 5th APRIL 4pm-5pm
SATURDAY 18th FEBRUARY - 7th APRIL 10am-11am
ENROLMENT FORM
Cost $64.00 (plus gear hire) 1 HOUR LESSON PER WEEK FOR 8 WEEKS
PLEASE CIRCLE YOUR OPTION
MONDAY: 4-00 PM
THURSDAY: 4-00 PM
THURSDAY: 5-00 PM
SATURDAY:10-00 AM
Name:_______________________________________Age:____
Address:_____________________________________
______________________________________
Phone:______________ Cell:________________
Parents Name:__________________________________
Email:_______________________
Have you been to Kiwiskate before:? Y / N
What level have you passed:?______________________
How did you find out about Kiwiskate:? School Paper Ice Stadium Friend
Website Other______________________
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