Please complete the information below to submit your registration request:

(You can combine days if needed to achieve your number of sessions.)

Choose Session                      Session 4 (2/27-3/31)

Class:                    Basic Skills 1-8 5 sessions ($70) Snow Plow Sam 5 sessions ($50) Hockey Skills/Power 5 sessions ($75)

Please select the day and time you wish to register for:
(this assists with scheduling, but does not necessarily commit you to a particular day)

Skater's Name    

Skater's Street Address   

City        Zip   

Home Phone      

Parent/Guardian Name

Parent Phone: Email

Skater's DOB

Has the USFS $12 Annual Fee been paid since June 2011?  Yes No

New Skater?  Yes No

If Returning Level Passed

Additional Comments:

Payment can be made to: Troy Skating Club or bring payment to first class session
(Visa, Mastercard, Check, Cash) accepted
P.O Box 83
Troy, OH 45373