Registration Form

ONLINE LOCK-IN REGISTRATION

       12th Annual Rockin’ Lock-In!
       WEDNESDAY, DECEMBER 31
       10:00PM - 7:00AM
       Includes COUNTDOWN TO MIDNIGHT, PARTY FAVORS
       & All-night skating/biking, pizza, drinks, donuts & milk

      Helmets and Waivers Required. No refunds or credits for
      any reason including but not limited to injuries.

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YES! I WANT TO REGISTER FOR The12th Annual Rockin’ Lock-In!

             $38.50 (plus tax)

               --   Pay before DEC. 31 & RECEIVE A FREE SKATE PASS .

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REFUND POLICY

No refunds or credits for any reason including but not limited to injuries.

To register online, fill out this form and submit.

You may also register at the Skatepark.
Helments and Waivers are required (if not already on file).
Helmets are available to rent in our Pro Shop.

FIRST NAME:
LAST NAME:
AGE (8-17):
EMAIL ADDRESS
HOME NUMBER:
CELL NUMBER:
PAYMENT INFORMATION *REGISTRATION WILL NOT BE PROCESSED UNTIL PAYMENT IS RECEIVED*
Payment Method:
Total Due:
Card Number:
Expiration Date:
Name on Card:
Billing Address:
Billing City/State/Zip:
PARENT INITIALS	By initialing above, I accept terms of registration, including Refund Policy and Waiver Requirements. Registration will not be accepted without initials.