Please fill out the form below to register your player in the clinic and follow payment directions after completing form.

Power Skating Clinic Registration
GRAHA is Excited to announce the trainers for our Power Skating Series this year: Paul Lowden, Head Coach of Davenport University, Jamie Bradford, Robbie Glantz Power Skating Instructor Chris Green, Coach at Davenport University
Player First Name:	*
Player Last Name :	*
Date of Birth	*
Street Address:
Town / City:		State*
Postal / Zip Code:
Email address:
Dates Available
Please enter the number of attendees for each date using the fields below. Tickets are $10.00 each.
October 26, 2008
November 23, 2008
December 21, 2008
January 4, 2009
January 18, 2009
February 15, 2009
March 1, 2009
Total Due ($)
Security Code	*