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Cool Beans!!! (Currently Pre-Enrolling)

(Regístrate en español)

We are excited to have your youth skate with us in a fun and safe environment. Please fill out the form below to sign up for a membership or program in the requested activity of your choice. After submitting this form please visit the Membership & Programs to pay for your desired team/program.

Junior 6-17 Years of Age (Parent/Guardian Of) Sign Up Form

* denotes required field

Parent / Guardian First Name*
Parent / Guardian Last Name*
Relationship to Junior Skater*
Junior Skaters First Name*
Junior Skaters Last Name*
Skaters Preferred Pronouns
Skaters Age*
Skaters Gender*
Location*
Address100 characters remaining
City
Zip
State*
Parent/Guardian Contact Phone Number*
Email Address*
Juniors Skate Experience*
Juniors Past Skate Experience
Does the Junior currently own skates or gear? If so please list what they have
1000 characters remaining
Does your Junior have WFTDA Insurance?*
If Yes Policy Number
Desired Membership/Program*
Emergency Contact Information*
Name100 characters remaining
Relation100 characters remaining
Phone Number10 characters remaining
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