| 781-933-2624 |  10 Brogan Rd Medford, MA 02155 |
781-395-2155 |
A BASIC SKILLS SKATING PROGRAM.
Summer Session
(7 week session $130.00) Dates TBD
(All skaters must pre-register before 1st lesson)
Classes Held at the
The Valley Forum
50 Holden St
Malden, MA
APPLICATION
Skaters Name: _____________________________________ Age: ____________________Waiver
Address: __________________________________________ Phone: __________________
City: _____________________________________________ Zip Code: _______________
e-mail address: _____________________________________________________________
Session: ______ Day: ______________________________ Time: ___________________
U.S.F.S.A. Badges: ________________________________ New to Program: _________
Can Skate: ________________________________________ Cannot Skate: ___________
Signature: ________________________________________ Date: ___________________You may print this application, and mail it, along with your check made out to:
Edgeworks Skating
and mail to:
Edgeworks
10 Brogan Rd
Medford MA 02155