Ice Dreams January 27, 2018 Registration Form
Registration information for skaters in the 6:00 p.m. January 27 Ice Dreams Olympic Sendoff show at Ice House of Hackensack. Please note that registration allows skaters to perform in a group number, unless otherwise discussed.
Skater's First Name *
Your answer
Skater's Last Name *
Your answer
Parent Full Name *
Your answer
Skater's Age
Your answer
Skater's Level
Your answer
Email Address
Your answer
Phone Number
Your answer
Coach Name (if applicable)
Your answer
Learn to Skate Day-of-the-Week (if applicable)
Registration Fees *
($25 fee for any skater below Juvenile level, and $5 off before December 1)
Learn to Skate - Pre Juvenile
Juvenile and above
Number of General Seating Tickets
Number of VIP Tickets (includes on-ice seating and after party)
You may choose to purchase a costume for your skater for an additional $5.
If you have decided to purchase a costume, please select a youth shirt size.
You may include a personalized message in the program. Sample sizes are available below.
Small Message ($15)
Medium Message ($50)
Large Message ($100)
Ice Dreams, Fireworks Sports Marketing, and Ice House has my permission to use my child's photograph publicly to promote the Ice Dreams 2018 Olympic Sendoff Show. I understand that the images may be used in print publications, online publications, and social media. I also understand that no royalty fee or other compensation shall become payable to me by reason of such use. *
If you would like us to tag you in our posts, please list your social media handles/usernames. (Facebook, Twitter, Instagram)
Your answer
Please enter your total below: *
Registration + Tickets + Costume ($5) + Program
Your answer
Registration is not complete until payment is made
Credit Card Information
Please enter your credit card number.
Your answer
Credit Card Information
Please enter your security code.
Your answer
Credit Card Information
Please enter your expiration date.
Your answer
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