Register for a program

Program Information

Location: Breakaway Ice Center - 20 Carter St - Tewksbury, MA 01876

Dates: Monday August 7 2023 - Thursday August 10 2023

Details: 3:50pm - 5:50pm

Group: Clinic: Group B: Ages 11 - Adult

Cost: $380.00

Admin Fee: $11.40

Total: $391.40

Waiver and Terms Acknowledgment

I have read and accept the Waiver

I have read and accept the Terms and Conditions

I have read and accept the Privacy Policy

Student Information

First Name

Last Name

Date of Birth

Gender

Primary Email Address

Secondary Email Address

Hockey Experience

Current Organization

Billing Information

First Name

Last Name

Address Line 1

Country

State

City

Postal Code

Main Contact Information

Copy billing name and primary email to main contact

First Name

Last Name

Email Address

Phone Number

Phone Number Type

Emergency Contact Information

Copy billing name and primary email to emergency contact

First Name

Last Name

Email Address

Phone Number

Phone Number Type

Survey

How did you find out about Pro Stride Skating?