Leader's Name ____________________________ Troop # ______________

Email _____________________________ Phone # ____________________

# Skating __________________________ # NOT Skating ______________

Total $ Enclosed _______________

*** for your convenience, you can pay using Paypal, just add $.50 per person ($3 per order max.) ***

Please attach a roster, indicating for each person whether skating AND whether a registered scout.

Bring leader/parent(s) to ensure girl/adult ratio per Safety-wise

FAMILY WELCOME – NO WALKUPS – DEADLINE OCTOBER 16th

Contact: Memory Wheeler wheels2795@bellsouth.net or 404-429-3691