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Specialty Skate Clinics
Name:
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____________________________________________________________
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Address:
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____________________________________________________________
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City:
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___________________________________________ |
State:
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__________ Zip: _________________________ |
Home Phone:
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___________________ Work Phone: __________________
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Email:
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_______________________________________________ |
Have you skated before? ________
How many times? _______________
Total = $________________________________
Please print, complete and send with check or
money order to:
California Skate School, Inc.
14320 Ventura
Blvd, #113, Sherman Oaks, CA 91423
Once we receive your payment, we will e-mail you a receipt of payment
confirmation.

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