ICON SKATE NIGHT - OCTOBER 24TH Skate Night Event & Prize Registration
1 registration per person maximum. Must be present to win. LOCATION: Three Fountains Skating Rink - 2724 Emanuel Church Road, West Columbia SC 29170.
Guest Name # 1 (18 & Older):
*
First Name
Last Name
Guest Name # 2 (18 & Older):
First Name
Last Name
Phone Number
*
For event-related communications
Email
*
example@example.com
How many additional guests ages 12 & under are you bringing with you?:
*
Please Select
No Additional Guests
1
2
3
4
Please provide names below for additional guests 12 & older
Guest Name (12 & under):
First Name
Last Name
Guest Name (12 & under):
First Name
Last Name
Guest Name (12 & under):
First Name
Last Name
Guest Name (12 & under):
First Name
Last Name
How many additional guests ages 13 & older are you bringing with you?:
*
Please Select
No Additional Guests
1
2
3
4
Please provide names below for additional guests 13 & older
Guest Name (13 & older):
First Name
Last Name
Guest Name (13 & older):
First Name
Last Name
Guest Name (13 & older):
First Name
Last Name
Guest Name (13 & older):
First Name
Last Name
I understand that I will be responsible for all costs for food, and extracurricular activities at Three Fountains Skating Rink. I acknowledge that ICON Church will not cover costs for me or any guests attending with me before, during, and after this event.
*
I acknowledge and agree
I understand that I am giving ICON Church permission to release, print and use pictures taken at this event for social media purposes (e.g. Instagram, TikTok, Facebook, website etc.) and for promotional material and publications.
*
I acknowledge and agree
I understand that I will need to provide transportation, chaperones for anyone under the age of 18 & be responsible for myself and all guests attending with me before, during, and after this event. I acknowledge that ICON Church will not be responsible for the adults & students attending this event who are represented on this form.
*
I acknowledge and agree
I understand that I am fully responsible & liable for any incidents that may occur for myself or for any guests attending with me. I acknowledge that ICON Church is not liable for any incidents that may occur for myself or any guests attending with me before, during and after this event.
*
I acknowledge and agree
Submit For Your Chance To Win!!
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