SKATER INFO FORM/REGISTRATION

2018 SPRING EXTRAVAGANZA ON ICE
ALL PARTICIPATING SKATER'S MUST FILL OUTTHIS INFORMATION FORM AND THEN WILL BE REDIRECTED TO REGISTER. IF YOU ARE UNABLE TO SUBMIT, YOU'VE MISSED A REQUIRED FIELD INDICATED WITH A RED*

* Indicates required field

dSkater's Name *

First

Last

If applicable - Please list your Dance or Pair Partner's name or if you are skating a small group/duet or with a team(s) *

Select One *

Name *

First

Last

Email *

Select One *

Phone Number *

Skater's Email OPTIONAL *

Additional Email OPTIONAL *

Skater's Cell Phone # OPTIONAL *

Additional Phone Number OPTIONAL *

Please list your song choice if you know it or any additional comments or important information *