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2019 COIR SKATE SCHOOL PROGRAMS REGISTRATION
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* Indicates required question
Email
*
Your email
Skater Full Name
*
Your answer
Date of Birth (DD/MM/YYYY)
*
Your answer
Gender
*
Female
Male
Prefer not to say
Postcode
*
Your answer
Emergency Contact Name (parent/guardian/or other)
*
Your answer
Emergency Contact Number
*
Your answer
Did you participate in a COIR Skate School Program in 2018?
*
Yes
No
If yes which level skate school are you in, or which program did you participate in? (eg. Intro C, level 5, coffee club, playgroup, speed school etc.)
Your answer
Which Skate School Programs are you interested in?
*
Learn to Skate Classes
Speed School (short track speed skating)
Hockey Development or Mites Hockey (ice hockey)
Figure Gold Classes (figure skating, ice dancing)
Synchro Development
Playgroup (kids under 5 years)
Coffee Club (adults)
Special Olympics (skaters with an intellectual disability)
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