Come Skate

skating

Note: fields marked with * are required.

Lead Registrant Contact Information

First Name *

Last Name *

Email *

City *

Phone Number *

Note: All minors must be accompanied by an adult over the age of 18.

First Name #1

Last Name #1

Adult or Child #1

Age #1 (if Child is selected)

First Name #2

Last Name #2

Adult or Child #2

Age #2 (if Child is selected)

First Name #3

Last Name #3

Adult or Child #3

Age #3 (if Child is selected)

First Name #4

Last Name #4

Adult or Child #4

Age #4 (if Child is selected)

First Name #5

Last Name #5

Adult or Child #5

Age #5 (if Child is selected)

Medical Notes

Having read the Event Information and Rules, I hereby submit my entry form for registration.

By checking this box I certify that I have read and agree with the above statements.