LCSC SUMMER SEMINAR WITH SURYA BONALY!

Skater Name*

Guardian Name

Email

Phone

Highest Jump Mastered

Competition Level

Are you interested in private lessons with Surya Bonaly?

Yes

No

Are you interested in private lessons with Peter Bivers?

Yes

No

Are you interested in private lessons with Peter Zapalo?

Yes

No

Summer Seminar (Please note that all registrations are final and non-refundable.)

LCSC Club Member$279

Non-LCSC Club Member$299

PO Box 972

Columbus, IN 47202

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