Uncategorized

Childs Name*
First Name Last Name
Parent / Guardian Name*
First Last
Email*
Childs Email

Enter your childs email, we will be sending follow up tutorial videos on the lessons
Parent / Guardian Phone Number*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Select Class Type*
Pick the option that best suits you:
Select Day*
Date Format: MM slash DD slash YYYY

Select the day of your lesson (Saturdays and Sundays only)
Experience with skateboarding
Allergies, Medical Conditions, or Anything Else We Need to Be Aware Of?
Payment Method*
- Paypal
- Credit Card
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Total Fee
$0.00

Name*
First Name Last Name
Email*
Phone Number*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Select Class Type*
Select Week
Date Format: MM slash DD slash YYYY
Select Day
Date Format: MM slash DD slash YYYY
Select Month
Experience with skateboarding
Select Trainer*
Timing
Timing
Timing
Payment Method*
- Paypal
- Stripe
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Total Fee
$0.00

Rockaway Skate School Summer Camp 1 Day