LTRS: Registration Learn to Roller Skate Enrollment Skater's InformationSkater's Name(Required) First Last Date of Birth(Required) MM slash DD slash YYYY Learn to Roller Skate participants must be at least 4 years old or older. Parent/Legal Guardian's InformationParent/Legal Guardian's Name(Required) First Last Phone Number(Required)The phone number you provided is your.. Mobile Home Work Email Address(Required) Home Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How did you hear about our Learn to Ice Skate Program?(Required) Friend/Family Website Social Media Skatium Employee Other Order Number(Required) After visiting our Online Store and purchasing either our Learn to Roller Skate Initial Enrollment package or Learn to Roller Skate Ultimate Enrollment package, you should have received an email with an order number. Waiver of Liability(Required) I agree to the Waiver of Liability.It is the purpose of this agreement to exempt, waive, and relieve the Arkansas Skatium owners, operators, managers, employees, visitors, customers, other skaters, coaches, instructors, and officials from liability for personal injury, property damage, contracting COVID-19, and wrongful death. Skating involves serious risk of injury, including death, that may originate from falls, slips, collisions with other skaters, other accidents associated with skating, and/or being in the presence of the skating arena. Regarding COVID-19 the World Health Organization has declared it a worldwide pandemic, that it is extremely contagious, and is believed to spread mainly from person-to-person contact. As a result, federal, state, and local governments and federal and state health agencies recommend social distancing and have, in many locations, prohibited the congregation of groups of people. The Arkansas Skatium has put in place preventative measures to reduce the spread of COVID-19; however, Arkansas Skatium cannot guarantee that you or your child(ren) will not become infected with COVID-19. Participant, or his/her legal Guardian understands these risks and assumes them and therefore releases Arkansas Skatium owners, operators, managers, employees, visitors, customers, other skaters, coaches, and officials from liability resulting from participation in group instruction, private instruction, class participation, or any other skating activity conducted at the Arkansas Skatium. Δ Book a Party!