Skating Rental Form

School Information

*School Name:   

*School Address:

*City:     *State:   AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

*Zip:  

*Direct Number into PE Dept:

*School Fax:     

*Name of School District:

*Best Time to Call:

Contact Person

*Name: 

*E-Mail:

*Home Number:

Dates for Skating

*First Choice:    

*Second Choice:

Comments:

Note:  Completion of all fields except "comments" is required before submission.