|
Questions?
Call: 410-721-7155
|
Toll Free:
1-866-SK8-ZONE
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Fax: 410-721-0765
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Registration
Form
must be completed and returned
with payment prior to start of session.
You may print this form and bring or mail it to:
Skate Zone, Rte 3, South & Capital Raceway Rd, P.O. Box 3334, Crofton,
MD 21114
| Student's
Name: |
________________________ |
Age: |
_____ |
|
| Parent's
Name: |
________________________ |
|
|
| Address: |
________________________ |
City: |
___________________ |
| State
& Zip: |
________________________ |
Phone
#: |
________________________ |
| E-mail: |
________________________ |
Type
of Payment
(Sorry-we no longer accept personal checks) |
| Class:(Circle
One) |
Private |
Competitive |
Cash |
|
CreditCard |
|
| Session:
(Circle One) |
|
Am
Exp |
Visa |
MC |
Disc |
|
Type of Payment:
|
CASH |
CREDIT CARD |
CC
#____________________ |
Exp:_____ |
| **Sorry,
but we no longer accept personal checks** |
In consideration of the
participant being permitted to register and participate in skating
and related activities at Skate Zone, we do hereby and forever
release and discharge the Directors, Agents, Employees and any
other person or corporation connected herewith from all manner
of injury, damages, costs, claims or demands which we will,
shall or may hereafter have, suffer or receive by reason of
such participation in any program at the facility. This release
shall be binding on our heirs, assigns, executor and administrators.
It is further agreed that Skate Zone shall not be considered
to guarantee or warrant such equipment as may be used in any
activity at the facility. I have read and understood this waiver.
Signature:_______________________________________Date:__________________
|
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