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August 23, 2015 September 13, 2015 October 11, 2015 November 15, 2015 December 13, 2015 Circle the race(s) you are registering for with this application $25.00 per race day OR $100.00 for all five race days (savings only available until 1 st race date) Skater’s full name D.O.B. Age as of January 1, 2015 Division racing (choose from below) Registered Club Email Phone Mailing address Emergency contact & phone Parent’s name & phone (minors only) All participating athletes must have a current 2015 facility release form on file. This form is available at the registration table or you may request one via email. Make checks payable to SKATE MORE INC. For more information please email [email protected] or “LIKE” us on FaceBook Female: 6 & under / 7-8 / 9-10 / 11-13 / 14 & up / WC 14 & up Male: 6 & under / 7-8 / 9-10 / 11-13/ 14-16 / 17-25 / 26 & up / WC 14 & up

Skate More 2015 Registration Form

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Skate More Race Series Registration Form

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August 23, 2015September 13, 2015 October 11, 2015 November 15, 2015December 13, 2015

Circle the race(s) you are registering for with this application $25.00 per race day OR $100.00 for all five race days (savings only available until 1st race date) Skaters full name D.O.B.Age as of January 1, 2015 Division racing (choose from below) Registered ClubEmail PhoneMailing addressEmergency contact & phoneParents name & phone (minors only) $25.00 per race day All participating athletes must have a current 2015 facility release form on file. This form is available at the registration table or you may request one via email. Make checks payable to SKATE MORE INC.For more information please email [email protected] or LIKE us on FaceBook Female:6 & under / 7-8 / 9-10 / 11-13 / 14 & up / WC 14 & up Male: 6 & under / 7-8 / 9-10 / 11-13/ 14-16 / 17-25 / 26 & up / WC 14 & up August 23, 2015September 13, 2015 October 11, 2015 November 15, 2015December 13, 2015

Circle the race(s) you are registering for with this application $25.00 per race day OR $100.00 for all five race days (savings only available until 1st race date) Skaters full name D.O.B.Age as of January 1, 2015 Division racing (choose from below) Registered Club Email PhoneMailing addressEmergency contact & phoneParents name & phone (minors only) All participating athletes must have a current 2015 facility release form on file. This form is available at the registration table or you may request one via email. Make checks payable to SKATE MORE INC.For more information please email [email protected] or LIKE us on FaceBook Female:6 & under / 7-8 / 9-10 / 11-13 / 14 & up / WC 14 & up Male: 6 & under / 7-8 / 9-10 / 11-13 / 14-16 / 17-25 / 26 & up / WC 14 & up