Class Registration for Pearkes Sunday Skate School

Use this form to register for a class at our Pearkes Sunday Skate School:

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

Student's Name (if different from above)

First

Last

Student's Age *

Please select the age, in years, of the skater.

What are the student's preferred pronoun(s)?

Are rental skates required?

If yes, what size. Please specify Men's Women's or Kids sizing.

Please choose the roller skating level/experience that best describes the student's current skill level.

Any additional information you feel your instructor should know prior to your lesson?

Available classes: *

Enter PROMO Code:

If you have one, enter your promo code here.