Discipline is the bridge between goals and accomplishment.

– Jim Rohn

This form will lead you into the wonderful world of skating discipline instruction! Please fill it out to the best of your ability so that we can match you with the best instructor to meet your unique goals! Once we receive your form we will be in touch shortly to discuss the first date and time of your private lesson.

Emergency Contact Info

Student Info

Lesson Details

Thank you from the Roller Skate Victoria Team.