Etnies x Autism Speaks Skate Clinic

Clinics at the Autism Speaks x etnies Collaboration Skate Event on April 2 at etnies Skate Park in Lake Forest, CA are conducted by A.Skate Foundation. Learn more about A.Skate and other A. Skate clinics at www.askate.org.
* required information
Registration 
Participant Information
If under 18, please provide parent/guardian name and contact info.
First Name:*
Middle Initial:
Last Name:*
Age:* years old
Parent/Gardian Name:*
Parent/Gardian Cell Phone:
Parent/Gardian Email Address:
Email:*
Address Line 1:*
Address Line 2:
City:*
State:
Province:
ZIP/Postal Code:
Country:*
Preferred Phone:*
Cell Phone:
Allergy Information::*
Any other health issues that we need to be aware of?:
Clinic Options
Participant Waiver
Download the waiver here. I have read and agree to the participant waiver.
Participant waiver:* I have read and agree to the Participant Waiver.