First Name
Last Name
Email Address*
Phone
Social Media (Facebook, Instagram, Twitter)
Community Event
Word of Mouth (Friends, Family, Current Rinks' Customer)
Rinks Employee
Other (please specify below)
If Other, please specify
Preferred Date (Format: 01/01/2019)*
Party OptionsSkatingHockey (Bring your own gear)Ball Hockey (Shoes)
Balloon Colors (Select up to two - N/A with Ducks theme)WhiteRedBlueYellowGreenPurpleOrangeGoldSilverBlackDucks Theme
Drinks Options (Includes 2 Pitchers)RC ColaRC Diet ColaDr. PepperSunkistRoot Beer7 Up
Additional Pizzas?State number of pizzas and toppings above
Additional Skaters? (Cost: $5 per person; specify number 0-40)**ALL PARTIES INCLUDE 10 SKATING ADMISSIONS
Additional Non-Skaters? (No Cost; specify number 0-40)
CommentsLast day to add people and food is Monday prior. No Refunds the day of the party.