St. Anselm Skating with the Spirit!
Fast fun and food! Sunday, November 12, 2018 12:30PM - 3:30 PM

Once we receive your registration, we will e-mail the waiver and release. These forms must be returned to the Advisors no later than the day of the event.

Email address *
Attendee First Name *
Your answer
Attendee Last Name *
Your answer
Attendee Birth Date *
MM
/
DD
/
YYYY
Attendee Cell Phone # *
Your answer
Our family will be staying for the event. *
What is the total number of family members that will attend the event? Please list all names, and if children, their age. Cost is $10 per person. Children under 5 are free. *
Your answer
IF YOU ARE DROPPING YOUR CHILD OFF AT THE EVENT; PLEASE FILL OUT ALL EMERGENCY INFORMATION BELOW.
Parent Last Name *
Your answer
Parent Cell Phone # *
Your answer
Parent E-mail *
Your answer
Address *
Your answer
City *
State *
Zip *
Your answer
Parish *
Emergency Contact Name (First & Last) *
Your answer
Emergency Contact Phone # *
Your answer
I understand that my son/daughter will stay the entire duration of the St. Anselm skate party unless an emergency arises. *
I understand that the waiver must be signed for my son/daughter to participate. *
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