Please make your reservation a minimum 2 weeks prior to party booking. If reservation is made within two weeks of the party booking date, there are no guarantees and we will call you with the availability. Please note that this form is not a set contract. It is solely for the purpose of reserving & planning for the party. Birthday childs full name Parents full name Address City State Zip Phone number Childs birthdate Childs age (on birthday) Childs gender Male Female Number of guests E-Mail address Session requested Make a selection Saturday 1-3:30pm Family Top 40 Saturday 4:30-7pm Family R&B Sunday 2:30-5pm Family Top 40 Party Type Skating Party Laser Storm Party Date requested Special requests Add ons Laser Storm $25 for 10 (or $2.50 per game per person) Choice skate rental $15 in-line or speed skates only (or $2 per person) Ice cream cups $5 (or $0.50 per cup) Unlimited pop refils ($7.50) Extras Pizza $9 each Qty 60 Game Tokens $10 Qty Pitcher of pop $3 Qty

Skateland Arena | 8460 N. Dort Hwy. | Mt. Morris, MI 48458 Main Rink: (810)686-6110 | Hockey Rink: (810)686-0833 Website Created and Maintained by: Expressive Designs