Please review carefully.
For your convenience, you may print this form to fax or mail.
send all cheques,
All registrations will be confirmed by email one to two weeks prior to selected clinic.
payable to Cindy Bower,
Cindy Bower Power Skating
5433 Blue Spruce Ave.
do not send postdated cheques
Be aware that both the checkbox and accompanying field, for the parental or guardian signature, are required to be
If you are printing this form and submitting by regular mail, please sign your name in the space provided
For more information, contact Cindy or Peggy