Please review carefully.
Print this form for fax or post-mail.
For your convenience, we can accept payment by email Interac transfer. Please use the email@example.com address for
All registrations will be confirmed by email one to two weeks prior to selected clinic.
Payment by cheque:
Please send all cheques, payable to Cindy Bower, to:
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