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LEARN TO SKATE SCHOOL HOLIDAY CLASS   

MONDAY 17th OCTOBER TO FRIDAY 21st OCTOBER

10AM TO 11AM

ENROLMENT FORM 

COST:$40.00  PER PERSON  1 HOUR LESSON PER DAY FOR 5 DAYS 

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________