Ice Skating Registration Form Ice Skating is from 3-5pm Skaters will ride a school bus from the elementary school to Cass Park and then must be picked up at Cass Park by 5pm. The cost of skating is $10 a skater per session and includes admission, skate rentals, and bus transportation. We do not want cost to be a barrier in participation so please contact a PTO representative or the school if you need financial assistance. Children are encouraged to bring their water bottles and a snack. Children who are ice skating should also have snow pants (warmth and padding,) hats, gloves, and a helmet (a bike helmet or any kind of helmet is fine) *If you do not have a helmet please let us know and a helmet can be provided for you. If you have more than one child attending you will need to submit this form twice. Your child's first name(Required) Your child's last name(Required) Your child's teacher's name(Required) What grade is your child in?(Required)Please choose your child's gradePKK1234Skate Rental Size(Required) Sizing note: Please use the same as or one size lower than their normal shoe size. They ONLY have WHOLE sizes! So if the normal shoe size is a 1⁄2 size, the rental skates should be the whole size BELOW that size. IF your child will be bringing their own skates, please enter NA. Primary Adult Name(Required) Primary Adult Phone Number(Required)Primary Adult's Email Address(Required) Emergency Contact Name(Required) Emergency Contact Phone Number(Required)Please choose up to 2 dates out of the 6 options. Maximum 40 students per session. Sessions will be removed when full. Your payment must be processed in step 2 to be fully registered. We do not receive registration forms unless payment is processed. If cost is a barrier, or if you are unable to pay online, please contact tburgelempto@gmail.com for help registering. Choose Date #1(Required) Wednesday January 11th Wednesday January 18th Wednesday January 25th Wednesday February 1st Wednesday February 8th Wednesday February 15th Choose Date #2 Wednesday January 11th Wednesday January 18th Wednesday January 25th Wednesday February 1st Wednesday February 8th Wednesday February 15th Total Are you able to chaperone?(Required) Yes No Note: Chaperone skating and rentals are free.Chaperone Note: Please let us know what date(s) you can chaperone for from above. Note: Chaperone skating and rentals are free.Skating Size for Chaperone Consent(Required) I acknowledge that I have read the rules and regulations from Cass ParkRead rules and regulations herePlease note: If you have more than one child attending you will need to submit this form twice.You will be taken directly to PayPal when you hit submit. You can pay via a PayPal account or click on the button (see example below) to pay via credit/debit card: Please note: your child will not be registered if payment is not completed.NameThis field is for validation purposes and should be left unchanged.